Intro
Preface
Contents
1: Introduction
References
2: Seeing a Patient with a Wound
2.1 Mastering the Wound Care Physical Exam
2.1.1 Vascular Exam
2.1.2 Infection
2.1.3 Foot Deformity and Soft Tissue Breakdown
2.1.4 Direct Assessment of the Wound
2.2 How to Classify the Wound
2.2.1 When Should I Consider Venous or Mixed Wounds?
2.2.2 Managing Neuropathic Wounds
2.3 Mixed Wounds: How to Manage?
2.4 Basics of Debridement of Wounds
2.4.1 Debridement of What Exactly?
2.5 Basics of Dressings and When to Make a Change

2.6 When Should I Culture?
2.7 When Should I Biopsy?
2.8 How Do I Biopsy a Wound?
2.9 When Should I Not Debride?
2.10 Identifying and Managing Calciphylaxis
2.11 When Do I Wound Vac?
2.12 Offloading
2.12.1 Options for Offloading
2.12.2 When to Make a Change?
2.13 Oxygen Therapy in the Treatment of Chronic Wounds
2.13.1 The Simple SALSA Wound Treatment Guideline: Vertical and Horizontal Approach
2.13.2 Hyperbaric Oxygen Therapy
2.13.3 Topical Oxygen Therapy
2.14 Skin Substitutes and Matrixes Demystified

2.15 This Patient Needs to be Admitted Now
2.16 Soft Tissue Reconstruction Options
2.16.1 Reconstructive Options
2.16.1.1 Primary Intention
2.16.1.2 Secondary Intention
2.16.1.3 Skin Grafts
2.16.1.4 Adjacent Tissue Transfer
2.16.1.5 Regional Flaps
2.16.1.6 Free Flaps
2.16.2 Amputation Optimization
References
3: Determining the Appropriate Workup
3.1 When to Utilize ABI, Arterial Duplex, and Advanced Anatomical Imaging
3.1.1 When Should I Order ABI, Toe Pressures, or Arterial Duplex?
3.1.2 The Role of PVR and Segmental Pressure Studies

3.1.2.1 Segmental Pressures
3.1.2.2 Pulse Volume Recordings
3.1.3 Role of TBI, TCP02, or Skin Perfusion Pressures
3.1.3.1 Toe Brachial Index
3.1.3.2 Tissue Oxygen Testing
3.1.3.3 Skin Perfusion Pressure
3.1.4 When and Why Do I Need Cross-Sectional/Anatomic Imaging?
3.1.4.1 Arterial Duplex
3.1.4.2 CT Angiography
3.1.4.3 Magnetic Resonance Angiography
3.1.5 Superficial and Deep Venous Imaging
3.1.5.1 Venous Insufficiency Ultrasound Testing
3.1.6 When Should I Consider CT or MR Venography?
3.1.6.1 Putting it All Together

3.2 Interpreting the ABI, TBI, and Toe Pressures: Know the Pitfalls
3.2.1 Ankle-Brachial Index
3.2.2 Toe Brachial Index
3.2.3 Toe Pressures/TcPO2
3.2.4 Pitfalls When Interpreting ABIs
3.3 Interpreting the CT and MRI: Know the Limitations
3.3.1 CT and MRI: Arterial Imaging
3.3.1.1 CT Arteriography (CTA)
3.3.1.2 Contrast-Enhanced MR Arteriography (CE-MRA)
3.3.1.3 Non-Contrast MR Arteriography (NC-MRA)
3.3.2 CT and MRI: Venous Imaging
3.3.2.1 CT Venography (CTV)
3.3.2.2 Contrast-Enhanced MR Venography (MRV)