• 6 Million People Suffer From Chronic Wounds World Wide
• There Are 4.5/1000 Cases Of Chronic Wound Cases In India
• There Are 10.5/1000 Cases Of Acute Wound Cases In India

Wound Commonly Result From

Burns Infection Trauma

• 5-7% people with diabetes have had foot ulcers - M. Kerr et al
• Lifetime risk of developing foot ulcers is 25% - N. Singh et al
• Every 20 sec a lower limb gets amputated due to diabetes related complications 5 years mortality increases to 50-70% after amputation. - Young et al

Simple surgical procedures not only help in faster healing of ulcers but also help in preventing recurrence of ulcer.

• Deep pressure sores or grade 3 and 4 sores need surgical debridement.
• VAC ( Vacuum assisted closure) helps in reducing the size and avoids the need for daily dressing
• Local flap can be done to cover the pressure sore.

FACTS

• Antibiotics are usually not needed
• Simple surgical cleaning of dead tissue followed by daily change of dressing improves the condition
• Flaps should be done once the wound is OK for it

• Ice Application Not Advisable
• Place the hand under running tap water for 5 minutes
• A superficial scald burn can convert to deep burn if complicated by infection

Dressing Done For Scald Burns On The Day 1

• Infection Prevents
• Avoids Use Of Antibiotic
• Avoids Daily Change Of Dressing
• Avoids Scar Formation