The ears of the hippo: the state of wound care in SA

A lack of evidence-based care not only contributes to extended healing trajectories and increased cost but could also have detrimental effects for the patient. Chronic wounds, specifically lower leg ulcers of venous aetiology, are often complex and challenging to heal.

Antiseptics in an era of bacterial resistance

Povidone-iodine is a broad-spectrum antiseptic for topical application in the treatment and prevention of wound infection. It may be used in first aid for minor cuts, grazes, burns, abrasions and blisters.

Clinical review: foam dressings

The UK National Health Service (NHS) Clinical Evaluation Team have published a report evaluating foam dressings of wound care suppliers on packaging, opening, clinical use and disposal.

Antibiotics vs antiseptics in wound healing

Iodophore-based formulations have remained popular after decades of use for antisepsis and wound healing. Recent data clearly supports its use in wound healing.

You cut me open and I keep bleeding

Haemophilia is an inherited, x-linked, lifelong bleeding disorder that affects men almost exclusively. Most frequently, haemorrhage involves joints or muscles.

Infection in chronic wounds

This article gives an overview of bacterial balance, inflammation and wound infection, and offers guidance on the assessment of chronic wounds in a clinical setting.

NPWT in hand injuries

The efficacy of negative pressure wound therapy (NPWT) is thought to be due to decreased bacterial count, increased tissue perfusion, removal of exudates, and promotion of granulation tissue formation, all of which promote wound healing.

Fungating wounds always a challenge

A patient presenting with a fungating wound is always a challenge for wound care practitioners. The management of these wounds is rarely straightforward and requires a great deal of sensitivity and flexibility.

Foam dressings a MUST in the wound care toolkit

Globally millions of people develop pressure injuries. Foam dressings have been shown to reduce the risk of pressure injuries.

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Spider bites in SA: Identification and treatment

Diagnosing spider bites can be very difficult, especially when you do not know what caused the bite. It could be a mosquito bite, flea bite, or even poison ivy.

Knowledge leads to better outcomes

During the last 10 years there has been a dramatic increase in the number and types of burn wound dressings available on the market.

A brief history about efficacy of NPWT

Most guidelines recommend negative pressure wound therapy (NPWT) for acute and chronic wounds.

Wound assessment crucial to effective treatment

Proper wound assessment can significantly influence patient outcome. Remember that accurate descriptions are essential for guiding ongoing wound care.

The superficial partial thickness burn and Sorbact

Thermal damage to the skin that just breaches the dermis but leaves many islands of basal epithelial cells intact is named a partial thickness burn. Due to the multitude of these islands, re-epithelialisation occurs within 7-14 days and the largely intact dermis means the scar is of good quality. This is the natural history of a truly superficial partial thickness burn.

First aid for minor burns

Burns are a global public health problem, accounting for an estimated 265 000 deaths annually. A burn is an injury to the skin or other organic tissue primarily caused by heat or due to radiation, radioactivity, electricity, friction, or contact with chemicals.

Burns: basic first aid

Burns destroy skin, which controls the amount of heat our bodies retain or release, holds in fluids and protects us from infection. While minor burns on fingers and hands are usually not dangerous, burns injuring even relatively small areas of skin can cause serious complications.

Fast burn treatment decreases mortality

Data shows that on average, nine children die every day from of burn injuries. Research shows that men, children and old people are more at risk of sustaining burn injuries.

Burns: The long term

Hypertrophic scars are variations of typical wound healing when there is an imbalance between the anabolic and catabolic phases and more collagen is produced than is degraded. This is a difficult problem for burn patients.

Burns: The first 24 hours

Burns remain undertreated

Burns: The first 24 hours

It is imperative to understand the depth of the burn wound. A partial thickness wound will heal spontaneously. The most appropriate dressing choice is one that can be applied as a single application and is only removed once epithelialisation is complete.

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