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Necrotic Wounds

Case Review: Treatment of Full-Thickness Ulcers Due to Necrobiosis Lipoidica

April 9, 2015
By Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS I had an interesting case come into the clinic and I wanted to share it with all of you. This is the first time in my clinical experience ...

How to Tell the Difference Between Necrotizing Fasciitis and Spider Bites

March 26, 2015
In the times that I have worked with amazing hospitals and doctors, I have learned and gathered information on the differences between two types of necrotizing infections that happen in the world of w...

Maggot-Induced Wound Healing – What is the Evidence?

February 27, 2013
By Ron Sherman MD, MSC, DTM&H Over 80 years ago, Dr. William Baer — then Chair of Orthopedic Surgery at Johns Hopkins — observed that wounds debrided with maggot therapy healed at least as well and...

Methods of Wound Debridement

July 23, 2015
By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS There are four main types of debridement: mechanical, autolytic, enzymatic, and surgical. Each has its own advantages and disadvantages. Let’s take a lo...

Must Love Dogs: Animal Adventures in Home Health Care

January 10, 2019
By Margaret Heale, RN, MSc, CWOCN "Must Love Dogs (Cats, Lizards, Snakes, Birds, AND Arachnids)." This is a line that needs to be next to all job advertisements for home health care staff. You see,...

Necrotic Wound Management

February 13, 2020
Necrotic wounds are characterized by devitalized, or dead, tissue. Necrosis may be caused by malignancy, infection, trauma, ischemia, inflammation, or exposure to toxins. It may also be caused by impr...

Necrotic Wounds: Overview and Treatment Options

October 7, 2013
By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS Necrotic tissue that is present in a wound presents a physical impediment to healing. Simply put, wounds cannot heal when necrotic tissue is present. In...

Necrotizing Fasciitis: When A Harmless Bug Turns Deadly

April 8, 2014
By Bruce E. Ruben MD Before you can delve into the vicious and deadly world of necrotizing fasciitis, the ghastly "flesh-eating disease" that's been widely reported by the media, you have to unders...

Radiation Necrosis and Hyperbaric Oxygen Therapy

April 8, 2013
By Lydia A Meyers RN, MSN, CWCN Radiation necrosis can be defined as cell death as a result of high doses of radiation as used with aggressive tumors. The dead cells caused by the loss of blood flo...

Review: A Randomized Controlled Trial Comparing a Human Acellular Dermal Matrix Versus Conventional Care for the Treatment of Venous Leg Ulcers

September 2, 2020
By Temple University School of Podiatric Medicine Journal Review Club Venous leg ulcerations (VLUs) are a common and often chronic pathology, and these wounds diminish the quality of life and incre...
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