11 June 2017
In
News
By
thewoundguy
Dr Jacqui Chirgwin is the lead Phlebologist and Medical Director of Newcastle's (NSW) Vein and Laser Centre. I recently had the opportunity to spend a day with her and her team in order to learn more about the role of sclerotherapy and laser ablation for
1 June 2017
In
News
By
thewoundguy
Pressure injury is recognised as commencing in deeper soft tissues and by the time that skin changes are visible it is generally too late to avoid tissue damage. Visual inspection of skin over bony prominences is an important assessment and care activity. However, an objective
25 May 2017
In
News
By
thewoundguy
http://www.smith-nephew.com/news-and-media/media-releases/news/smith-nephew-signs-exclusive-worldwide-distribution-agreement-for-the-revolutionary-moleculight-ixtm-imaging-device/
Point of care technologies which make a real time difference to clinical decisions are a holy grail which is gradually being realised.
16 April 2017
In
News
By
thewoundguy
Until recently I had never heard of Podoconiosis. It presents in a very similar fashion to the better known Elephantitis or Filariasis, which produces chronic oedema with its accompanying skin changes and limb deformity. Filariasis is mosquito bourne and involves the habitation of a round
1 April 2017
In
News
By
thewoundguy
Gary Sibbald and James Elliott eloquently describe their clinical mantra for treating a patient with neuropathic foot ulceration. They refer to the process as the "VIPs of care".
V = ensuring an adequate vascular supply. Examine pulses, systolic arterial pressures (including in the great toe) and
31 March 2017
In
News
By
thewoundguy
Smoking
Drugs - opioids, steroids, anticoaggulants, illicit
Diabetes
Obesity (BMI >40 there is a 51% chance of infection within 6 weeks of the surgery)
Pre-eclampsia
Prior C-section
Poor nutrition
Ischaemia (normally intra, peri and post-op)
Retained foreign bodies - sutures, clips, drains, dressing materials
22 March 2017
In
News
By
thewoundguy
Dr Aletha Tippett is a member of the Advanced Wound Team with the Hope of Healing Foundation in the USA. She recently reported on the modern day utilisation of leech therapy and described this modality being used for the following indications : surgical flap salvage,
16 March 2017
In
News
By
thewoundguy
In collaboration with the Australian College of Nursing, I am presenting a two-day "Wound Management Update" at the John Hunter Hospital on April 10&11, 2017. This CPD short course (12 hours) is designed for registered and enrolled nurses who provide wound care in the acute
12 March 2017
In
News
By
thewoundguy
A Turkish report states that up to 40% of long term condom catheter (urodome) users will develop a UTI.
As many as 15% will experience skin injuries including inflammation, ulceration and necrosis.
Ozkan,HS; Irkoren,S; Sivrioglu,N Penile strangulation and necrosis due to condom catheter. Int Wound J 2015;12:248-249
28 February 2017
In
News
By
thewoundguy
Having concluded my most recent education roadshow for the aged care sector, I have learned that theorectical content is of greatest value when linked to a real clinical story.
Then in reliving the story nurses are more likely to recall the factual data, which is then