EVIDENCE-BASED AND HANDS-ON
COME PRACTICE ADVANCED WOUND CARE
June 25, 2008 • Salt Lake City
Purposes
• Gain a better understanding of the evidenced-based treatments of Venous, Pressure, Diabetic, and Arterial Ulcers.
• Learn how to choose an appropriate moist wound dressing.
•Compare similar products side by side in a hands-on setting: Negative Pressure Wound Therapy, Compression, Perfusion Evaluation, Off-loading, Skin Substitutes, and Maggot Therapy.
• Learn when and how hyperbaric oxygen is a powerful adjunctive therapy in wound healing.
• Discover the utility of an electronic medical record in wound care.

Faculty
Nick Bird, MD
Terri DeJohn, MD
Caroline Fife, MD
Lynne Grant, RN
James Holm, MD
Dick Sample, CHT
Dag Shapshak, MD
Ron Sherman, MD
Carl vanGils, DPM
Gene Worth, MD

Location
Salt Lake City Marriott Downtown
75 South West Temple, Salt Lake City, UT
Registration Fee
$150.00 (includes lunch)–Additional fee for
CMEs/CEUs. Registration fee increases to
$175.00 after May 1st.
S P A C E I S L I M I T E D – R E G I S T E R E A R L Y
For More Information
Contact Lisa Tidd at UHMS
lisa@uhms.org
Phone
877-533-8467 or
919-490-5140
Register On-Line
www.uhms.org Go to “Meetings and
Events” to “2008 Annual Scientific
Meeting” to “Registration”
Wound Care:
An Evidence-Based and Hands on Workshop
2008 UHMS ASM Pre-Course
Wednesday, June 25th, 2008
Marriott Hotel, Salt Lake City, Utah

Session Summaries
8:00 - 8:30: Venous Ulcers Guidelines: Nick Bird, MD
Dr. Bird will provide an overview of the 2006 guidelines for the evaluation and management of venous disease. Healthcare workers from technicians to physicians will find this talk useful. The lecture is geared for both seasoned wound care practitioners who want to update their practice, as well as those new to wound care who desire evidence-based guidance. While the talk is limited to the highlights of the recent guidelines, handouts and references are available for further reading and discussion.

8:30 - 9:00: Pressure Ulcer Guidelines: Gene Worth, MD
All patients with pressure ulcers require individualized care. In this lecture, Dr. Worth will discuss the
pressure ulcer guidelines and evidence-based recommendations for the care of these patients, including the six principles that must be simultaneously managed for positive outcomes in patients with pressure ulcers: positioning and surfaces, nutrition, infection control, wound bed preparation, dressings, and surgery and adjuvant therapies.

9:00 - 9:30: Diabetic Foot Ulcer Guidelines: Terri DeJohn, MD
Dr. DeJohn will discuss the importance of identifying co-morbid conditions in the diabetic patient such as peripheral arterial disease and neuropathy, and then determining the appropriate interventions to minimize their impact on wound healing, including revascularization, off-loading, and infection control.

9:30 - 10:00: Arterial Ulcers Guidelines: Dag Shapshak, MD
Peripheral arterial occlusive disease (PAOD) affects approximately 10 million people in the United States and is highly associated with morbidity and mortality. PAOD contributes to lower extremity wounds both solely and in the setting of other disease processes (such as venous insufficiency and diabetic neuropathy). Practice guidelines can aid the practitioner in prevention and diagnosis of arterial ulcers. Dr. Shapshak will review infection control, wound preparation, wound dressings, and indications for referral for surgical revascularization. He will also discuss the current evidence to support the use of adjunctive therapies.

10:30 - 11:30: How do you choose a moist wound dressing? Lynne Grant, MS, RN, CWOCN
With thousands of dressings available to the wound care practitioner, deciding on a particular wound
dressing for each patient can be difficult. Lynne Grant will discuss the benefits of maintaining a moist
wound-healing environment and explain the different categories of wound products and their proper use and expected benefit. Limitations of dressings will also be discussed. The talk should provide a roadmap for making these complex choices.

11:30 - 2:30: Hands-on Workshops (in 6 rotating groups, 25 minutes each station)
Lunch in between sessions from 12:45 – 1:15
Negative Pressure Wound Therapy: Gene Worth, MD
In this workshop, attendees with have the opportunity to see demonstrations of 3 currently available
negative pressure wound therapy systems. They will have an opportunity to use these systems in simulated wounds/ulcers.

Maggot Debridement Therapy: Ron Sherman, MD, MSc, DTM&H
Maggot debridement therapy (MDT) is used increasingly to assist with non-healing or problematic wounds, including pressure ulcers, neuropathic foot ulcers, venous stasis ulcers, and post-surgical wounds. Participants will learn when, why, and how to use maggot therapy dressings.

Skin Substitutes: Terri DeJohn, MD
Using pig's legs, participants will have an opportunity to apply Apligraf, Dermagraft and other skin
substitutes. They will handle the products and learn appropriate techniques for aftercare.

Compression Therapy: Lynne Grant, MS, RN, CWOCN
Many wounds fail to heal due to excessive inflammation, often from untreated periwound edema. This is most obvious with venous stasis ulcers but is often seen with wounds with other etiologies. This workshop will review numerous types of compression dressings and explain their use and abuse. The attendees will have hands-on time to apply these dressings correctly.

Tissue Oxygen and Skin Perfusion Monitoring: Dick Sample, RCP, RRT, CHT
This workshop will provide attendees an opportunity to work with various non-invasive vascular
assessment devices. Transcutaneous oxygen, laser Doppler, skin perfusion pressure, and pulse volume recording devices will be available for hands-on use. Experts will be present to assist with the clinical application of the devices and answer questions.

Offloading and Total Contact Casting: Carl VanGils, DPM
This workshop will review and demonstrate the importance of proper offloading and pressure relief in the treatment of neuropathic foot ulcers. Participants will gain in an appreciation for the role of offloading in limb salvage efforts and management of diabetic foot ulcers. Clinical case examples and literature studies will be reviewed and a variety of offloading techniques will be demonstrated. Total contact casting, long considered the gold standard in offloading the neuropathic foot, will be demonstrated and participants will have opportunity to learn and practice its application.

2:45 - 3:30: Electronic Medical Records for Wound Care: Caroline Fife, MD
Electronic Medical Records (EMRs) are not simply paper records viewable in electronic form, but can store information in a manner that can be processed. Agencies such as the Health Information Management Systems Society (HIMSS) specify the essential requirements a system must meet in order to be called an EMR. Being able to process clinical data means that a true EMR can note only calculate the physician or the facility level of service on an individual patient, but provide outcome measures or financial reports for an entire practice. As Medicare moves toward systems like "Pay for Performance," EMRs will become a necessity for a successful practice. This session will provide a basic understanding of regulatory standards, functional requirements, and implementation challenges for an EMR specific to wound care and hyperbaric medicine.

3:30 - 4:15: HBO2 Therapy: Essentials for the Wound Care Practitioner: James Holm, MD
Hyperbaric oxygen therapy is a valuable adjunct to patients with wound healing problems. This talk will discuss what hyperbaric oxygen therapy is and how it works. We will discuss the currently accepted indications for hyperbaric oxygen therapy with an emphasis on conditions that might be seen by wound care practitioners, including clinical examples and an evidence-based review of the current literature. These conditions include necrotizing soft tissue infections, chronic refractory osteomyelitis, compromised flaps, and diabetic foot wounds. Contraindications and side effects will also be discussed to help the practitioner decide when it is appropriate to refer your patient for a hyperbaric consultation.

CONTINUING EDUCATION:
• Physician CME: The Undersea and Hyperbaric Medical Society (UHMS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
o The UHMS designates this educational activity for a maximum of 7.5 AMA PRA Category 1 Credits™.
o Physicians should only claim credit commensurate with the extent of their participation in the activity.
• Nursing CEU: CNE will be provided by Diversified Clinical Services 4500 Salisbury Road, Suite 300, Jacksonville, FL 32216. Florida Board of Registered Nursing Provider # 56-531. Credit hours 7.5
• CHT/CHRN Credits (NBDHMT): This program has been reviewed and is acceptable for 7.5 Category A credit hours by the National Board of Diving and Hyperbaric Medical Technology.

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