Clinical QuickieDermatology
Pressure Injuries / Wounds
A better dressing cannot fix ongoing pressure or poor perfusion.
Describe the wound before treating it
Location, size, depth, wound bed, drainage, surrounding skin, pain, tunneling/undermining, perfusion, and wound type all matter.
Off-loading is foundational
Pressure redistribution, mobility, moisture control, and barrier protection are core treatment — not optional extras.
Colonization is not infection
Chronic wounds are colonized. Systemic antibiotics are for clinical infection, not a positive superficial swab alone.
Failure to heal is a clue
Reassess pressure, perfusion, edema, glycemic control, nutrition, infection, adherence, and whether the wound type was correctly identified.
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