In 1992 Bennett (1) carried out a UK based postal survey of 27 medical schools to determine how much teaching there was on wound care, the dismal truth was that very little wound care was included (from 19 responses 2 said definitely no teaching, 4 probably no teaching and the average amount was 6 hours). Almost 20 years later when there is widespread acknowledgement of the increasing number of...

The use of Negative Pressure Wound Therapy (NPWT) has been widely documented as a technique to help heal complex wounds. This paper presents the findings of a preliminary study which aimed to explore quality of life experienced by patients undergoing negative pressure wound therapy (NPWT) as part of their wound care treatment in comparison to that of patients with a wound using traditional (sta...

Haemorrhagic skin necrosis is a common manifestation of a number of different pathological processes that can evolve dramatically and carry a grave prognosis. The divergent patho-physiological basis of the condition and the many specialities involved in the initial and subsequent care of the patient means that not all patients are seen by wound care professionals. Yet such patients do present t...

The Vacuum-assisted Closure device decreases the time to wound healing, thus increasing the deposition of granulation tissue, and decreasing the use of wound care specialists. Perineal wounds present a special challenge. We present four cases of complex perineal wounds in which the Vacuum-assisted Closure device was used. In each case, wound care was simplified and healing accelerated. The Vacu...

Despite the considerable progress that has been made over recent years, wound healing remains a challenge to many clinicians regardless of professional discipline or experience. This paper aims to evaluate the literature concerned with the implementation of evidence-based wound management. It shows that wound care research is badly designed, resulting in a lack of good quality research findings...

Problem wounds, which fail to respond to traditional medical and surgical therapy, can be challenging to the plastic surgeon. Surgical, outpatient, and inpatient wound care costs can be exorbitant. Indirect costs, such as those related to patient productivity, disability, and premature death, can also be significant. The underlying problem in failure of a wound to heal is usually hypoxia and in...

open fx is one of most serious injury in motor car accident. infection /osteomyelitis/amputation and frequent admission in hospital and iv antibiotic and surgery are common complication of this problem. life saving limb saving prior to the other practice. take a photo by cell phone then call for help and cover the wound /control of bleeding and keep person warm is principles to management for o...

Randomized controlled trials in wound care generalize poorly because they exclude patients with significant comorbid conditions. Research using real-world wound care patients is hindered by lack of validated methods to stratify patients according to severity of underlying illnesses. We developed a comprehensive stratification system for patients with wounds that predicts healing likelihood. Com...

Currently available research suggests that negative pressure wound therapy (NPWT) creates a moist wound healing environment, drains exudate, reduces tissue edema, contracts the wound edges, mechanically stimulates the wound bed, and influences blood perfusion at the wound edge, which may lead to angiogenesis and the formation of granulation tissue. Although no clear evidence is available th...

Development of metrics for burn care, including healing of skin wounds during the acute phase of treatment, is essential in an environment of decreasing resources and increasing interest in quality and accuracy of medical information. Advantages of consensus metrics include: tracking of trends in care; consistency of care; and correlation of treatment with medical outcomes. For cutaneous burn w...