Cameron
As a graduate, I was bombarded by the propoganda of how scientifically advanced and specialised ulcer/wound dressings were the *standard*.
After working in a tertiary diabetes centre for many years, I would look at the cost/benefit of these dressings in a subtropical location like my own.
My own observations were that the ever expanding range of dressings;
- kept wound far too wet,
- were essentially synthetic, and caused increased odour and slough,
- were very expensive,
- did not encourage debridement of devitalised tissue,
After 10 years of playing with all the leading brands on thousands of ulcers, I am completely counter-culture to modern wound care practices.
Sterile guaze, a bit of betadine, sharp debridment and offloading + make sure there is sufficient pedal inflow. I cop grief from the wound care nurses, but I stand my ground. I think the situation might be a little different if I were in a more temperate climate.
At 5 cents a go (if that), you can't beat it 95% of the time. Natural, permeable, and well suited to a long, hot, humid summer.
LL
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