Optimizing Wound Bed Preparation With Collagenase Enzymatic Debridement
Difficult-to-heal and chronic wounds affect tens of millions of people worldwide. In the U.S. alone, the direct cost for their treatment exceeds $25 billion. Yet despite advances in wound research and treatment that have markedly improved patient care, wound healing is often delayed for weeks or months. For venous and diabetic ulcers, complete wound closure is achieved in as few as 25%–50% of chronic or hard-to-heal wounds. Wound bed preparation and the consistent application of appropriate and effective debridement techniques are recommended for the optimized treatment of chronic wounds. (Source: Journal of the American...
Source: Journal of the American College of Certified Wound Specialists - August 14, 2015 Category: Dermatology Authors: Stanley K. McCallon, Dorothy Weir, John C. Lantis Tags: Review Article Source Type: research

Optimizing wound bed preparation with collagenase enzymatic debridement
Difficult-to-heal and chronic wounds affect tens of millions of people worldwide. In the U.S. alone, the direct cost for their treatment exceeds $25 billion.1 Yet despite advances in wound research and treatment that have markedly improved patient care, wound healing is often delayed for weeks or months. For venous and diabetic ulcers, complete wound closure is achieved in as few as 25%-50% of chronic or hard-to-heal wounds.2-10 Wound bed preparation and the consistent application of appropriate and effective debridement techniques are recommended for the optimized treatment of chronic wounds.11-16 The TIME paradigm (Tissu...
Source: Journal of the American College of Certified Wound Specialists - August 14, 2015 Category: Dermatology Authors: Stanley K. McCallon, Dorothy Weir, John C. Lantis Source Type: research

Calciphylaxis in Patients With Preserved Kidney Function
Calcific uremic arteriolopathy (CUA), also known as calciphylaxis, is a devastating disease typically seen in patients with end stage renal disease. It manifests as extremely painful symmetrical wounds resistant to surgical and medical interventions. The prevalence of CUA among hemodialysis dependent patients was found to be as high as 4.1%. The management of patients with CUA requires a multidisciplinary approach by the medical team, yet often results in a low rate of successful outcomes. Recently, non-uremic calciphylaxis (NUC) has been described in the absence of kidney disease. (Source: Journal of the American College ...
Source: Journal of the American College of Certified Wound Specialists - August 7, 2015 Category: Dermatology Authors: Natallia Maroz, Samer Mohandes, Halle Field, Zlata Kabakov, Richard Simman Tags: Case Study Source Type: research

Calciphylaxis in Patients with Preserved Kidney Functon
Calcific uremic arteriolopathy (CUA), also known as calciphylaxis, is a devastating disease typically seen in patients with end stage renal disease. It manifests as extremely painful symmetrical wounds resistant to surgical and medical interventions. The prevalence of CUA among hemodialysisdependent patients was found to be as high as 4.1%. The management of patients with CUA requires a multidisciplinary approach by the medical team, yet often results in a low rate of successful outcomes. Recently, non-uremic calciphylaxis (NUC) has been described in the absence of kidney disease. (Source: Journal of the American College o...
Source: Journal of the American College of Certified Wound Specialists - August 7, 2015 Category: Dermatology Authors: Natallia Maroz, Samer Mohandes, Halle Field, Zlata Kabakov, Richard Simman Source Type: research

Letter from the Chair
It is my great pleasure to serve with colleagues that are at the forefront of fostering multidisciplinary wound care. They not only keep pace with the new technology and application to patient care, but are leaders in our field. This year we have partnered with AMP for our membership meeting and the celebration of the 10th anniversary of the American College of Clinical Wound Specialists! (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - August 6, 2015 Category: Dermatology Authors: Tammy Luttrell Source Type: research

Ace Your Certification: Skin Substitutes
1. d, 2. c, 3. f, 4. e, 5. d (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - April 25, 2015 Category: Dermatology Authors: Jayesh B. Shah Tags: Column Source Type: research

The use of a pure native collagen dressing for wound bed preparation prior to use of a living bi-layered skin substitute
Management of chronic wounds in the outpatient setting is quite challenging. The extensive co-morbid medical problems of the chronically ill patient along with the complexities of the wound bed and its biochemical environment has led to a plethora of patients with poor wound healing. This ever increasing population is a challenge for the wound care practitioner and cost to the healthcare system and patient.Increased wound chronicity has promulgated the use of advanced wound care products, including Living Skin Substitutes (LSS), in an attempt to obtain wound closure, and ultimately both physiological and functional healing...
Source: Journal of the American College of Certified Wound Specialists - April 15, 2015 Category: Dermatology Authors: Naz Wahab, Martha Roman, Debashish Chakravarthy, Tammy Luttrell Source Type: research

Letter from the Editor
This year marks the 10th anniversary of the college and for this occasion the college will hold its annual membership meeting and reception at AMP prevention conference in Chicago on August 14. The college will also participate at the educational program on wound care which will take place on august 14th and 15th. The Amputation Prevention conference is a well-established vascular conference held yearly in downtown Chicago at the Palmar House Hilton Hotel. I invite you to save the date and join us to enjoy the conference and show your support and commitment to the college. (Source: Journal of the American College of Certif...
Source: Journal of the American College of Certified Wound Specialists - April 10, 2015 Category: Dermatology Authors: Richard simman Source Type: research

Clinical effectiveness of Hyperbaric Oxygen Therapy in Complex wounds
Hyperbaric Oxygen (HBO, HBO2) Therapy is a non-invasive therapy. It has been applied as adjuvant treatment in many medical conditions over the past 50 years. Different treatment protocols have been proven effective for specifically indicated conditions. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - April 8, 2015 Category: Dermatology Authors: Supaporn Opasanon, Warut Pongsapich, Sitthichoke Taweepraditpol, Bhoom Suktitipat, Apirag Chuangsuwanich Source Type: research

Lovenox Induced Tissue Necrosis, A Case Report and Literature Review
Lovenox is a trade name forEnoxaparin. It is a low molecular weight heparin (LMWH) and has other trade names like Clexane and Xaparin. It is an anticoagulant used to prevent and treat venous thromboembolism events (VTE) like deep vein thrombosis or pulmonary embolism, and is given as a subcutaneous injection. It works by targeting anti-Xa and anti-IIa factors (1,2). The approved enoxaparin regimens that recommended are: 1mg/kg twice daily, 1.5mg/kg once daily for inpatient, or 1mg/kg for outpatient treatment of DVT (3). (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - March 19, 2015 Category: Dermatology Authors: Abdelfatah Abou Issa, Richard Simman Source Type: research

Sequential Use of Hyperbaric Oxygen, Synthetic Skin Substitute and Skin Grafting in the Treatment of a Refractory Vasculitic Ulcer
Cutaneous leukocytoclastic vasculitis (CLCV) is a disorder characterized by the inflammation of the small vessels of the skin. CLCV may cause recurrent, drug-resistant, non-healing ulcers. Herein, we present a patient with a recalcitrant ulcer caused by CLCV, who was successfully treated with hyperbaric oxygen therapy and skin grafting. There is not any particular therapy/product that will heal all type of wounds. We can achieve better results provided that wound care products and advanced treatments are used at the right time. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - March 6, 2015 Category: Dermatology Authors: Gökhan Akcali, Günalp Uzun, Abdül Kerim Yapici, Şenol Yildiz, Günalp Uzun Source Type: research

Wound measurement techniques: Comparing the use of ruler method, 2D imaging and 3D scanner
The statistics on the growing number of non healing wounds is alarming. In the United States, chronic wounds affect 6.5 million patients. An estimated US $25 billion is spent annually on treatment of chronic wounds and the burden is rapidly growing due to increasing health care costs, an aging population and a sharp rise in the incidence of diabetes and obesity worldwide(1). Accurate wound measurement techniques will help health care personnel to monitor the wounds which will indirectly help improving care (7,9). (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - February 28, 2015 Category: Dermatology Authors: Aj Shah, C. Wollak, J.B. Shah Source Type: research

Topical Oxygen for Chronic Wounds: A Pro/Con Debate
The role of oxygen in wound healing is universally accepted and does not require any further evidence; however the controversy as to whether oxygen delivery systems have the potential to improve wound healing remains to be concluded. Topical oxygen treatment (TOT) involves the delivery of 100% oxygen for a mean of 90 minutes, once a day at an atmospheric pressure slightly above 1 atm abs. The use of TOT gained increasing interest recently. The current manuscript will summarize the pros and cons of TOT in the view of the available literature. (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - December 19, 2014 Category: Dermatology Authors: Mesut Mutluoglu, Aslican Cakkalkurt, Gunalp Uzun, Samil Aktas Source Type: research

Ace Your Certification
1, d; 2, c; 3, b; 4, b; 5, c (Source: Journal of the American College of Certified Wound Specialists)
Source: Journal of the American College of Certified Wound Specialists - December 5, 2014 Category: Dermatology Authors: Jayesh B. Shah Tags: Column Source Type: research

Letter from the Editor
The year is coming to an end and I would like to update you with the college accomplishments during 2014. The Fourth Annual Symposium on Advancing the Standards in Wound and Hyperbaric Medicine was held in collaboration with the University of Toledo on November 7 and it was a complete success. Next year will mark the 10th anniversary of the college and for this occasion the college will hold its annual membership meeting at AMP prevention conference in Chicago on August 14. The college will also participate at the educational program on wound care which will take place on august 14th and 15th. (Source: Journal of the Ameri...
Source: Journal of the American College of Certified Wound Specialists - December 5, 2014 Category: Dermatology Authors: Richard simman Source Type: research