Preview Mode Links will not work in preview mode

The Curbsiders Internal Medicine Podcast


Supercharge your learning as these board-certified Internists interview the experts to bring you clinical pearls, practice changing knowledge, and a healthy dose of humor. 

Feb 25, 2019

Demystify chronic wound care management with high yield pearls from wound care expert Dr. Elizabeth (Foy) White-Chu. She takes us through a simple yet thorough approach to manage complex chronic wounds. We discuss everything from selecting a dressing, to pain management, and what kind of water should you really use when cleansing a wound. Answers to all of these burning questions and more await you, so don’t waste anymore time! Press play and let Dr. White-Chu take you on a journey through evidence based practices for the management of chronic wounds. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST).

Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

Written by: Carolyn Chan MD

CME questions by: Justin Berk MD

Produced by: Matthew Watto MD

Hosts: Matthew Watto MD, Paul Williams MD, Carolyn Chan MD

Guest: Dr. Elizabeth (Foy) White-Chu

Sponsor

Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18.

Time Stamps

  • 00:00 Sponsor - ACPs MKSAP 18
  • 00:25 Disclaimer, intro, guest bio
  • 03:58 Guest one-liner, movie recommendation, favorite failure, career advice
  • 11:40 Picks of the week
  • 15:58 Sponsor - ACPs Medical Knowledge Self Assessment 18
  • 17:50 Clinical case of lower extremity ulcer; describing a wound
  • 21:04 Taking a wound focused history
  • 26:28 Differentiating wound types
  • 29:04 Edema and compression therapy; Should diuretics be used?
  • 36:43 Description of the multi-component wrap
  • 38:10 Counseling a patient about wound care and setting expectations for healing
  • 41:29 High value options for each wound type
  • 44:35 Gardening and wound bed preparation
  • 51:32 A bit on silver therapy
  • 53:40 Back to the case; Red flags in wound care
  • 55:40 Culturing a wound
  • 58:17 Instructions on how to write wound care orders
  • 62:00 Rundown of topical therapies for wound care
  • 65:04 Negative pressure wound therapy aka “wound vac”
  • 66:14 How often are dressing changes needed?
  • 68:27 Take home points
  • 70:20 Outro
  • 71:30 Carolyn gives a wound care PUN!