The European Wound Management Association (EWMA) is a European not-for-profit umbrella organisation, linking national wound management organisations, individuals and groups with interest in wound care.
Central to EWMA’s objectives is to support implementation of interdisciplinary and cost effective wound care of high quality. EWMA works to reach its objectives by being an educational resource, organising conferences, contributing to international projects related to wound management, actively supporting the implementation of existing knowledge within wound management and providing information on all aspects of wound management.
If the wounds are venous they can be cured if the underlying cause is treated at a specialist vein clinic. I know people who have been in compression bandages for years because of venous ulcers who have no idea they can be cured.
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Last century when I was working in AgedCare, a gentleman on 2 weeks respite care needed help with completely ulcerated lower legs. I massaged them for half an hour every morning, just with Sorbolene, and the ulcers had vanished before he was due to leave - a simple and effective solution to poor circulation. Even someone on their own can do this with a good massage tool.
Stuff compression as this is only treating the symptom. If the ulcer is venous the underlying cause should be treated not just the symptoms, but it’s quite clear that people are not being offered the full Endovenous Duplex vein mapping scans that they should be getting from the NHS. The NHS also does not employ Phlebologists who are adept at working on small perforator veins. They only have general Vascular surgeons who are only adept at working on large truncal veins. The NHS is decades behind in the treatment of venous leg ulcers, it’s a travesty. NEVER MIND COMPRESSION PLEASE OFFER PEOPLE SUFFERING FROM THIS HORRIBLE AFFLICTION FULL DUPLEX SCANS AND OFFER THEM THE PROCEDURES WHICH CAN CURE IR HUGELY IMPROVE THEM.
Dear Eve, Thank you for taking the time to write a comment. Of course, compression therapy is not the solution to everything, but it is an essential tool in managing leg ulcers. However, compression therapy is still not used optimally, meaning that its manyfold benefits are not fully exhausted. Therefore, EWMA, together with its local partners, is working tirelessly on sharing and furthering knowledge around compression therapy so that healthcare professionals in countries across the globe can make better informed decisions and provide adequate care to their patients. To our knowledge, we have not stated that compression should be the only treatment for lower leg ulcers, and we are aware of the problems in the UK. However, reforming the NHS is out of the scope of this project.
@@EWMAwound then you are still decades behind in the appropriate treatment of the underlying cause of venous leg ulcers, but thank you for the reply. I was told by the NHS that I would always suffer venous ulcers and be in compression the rest of my life. I listened and lost seven years of my life to all sorts of lotions and potions, compression bandaging, Dopplers the lot. This is no longer the case because I took the time to research and was flabbergasted upon learning that a huge public health institution like the ‘wonderful’ NHS did not employ Phlebologists and that my condition could be hugely improved. I found a Professor of Phlebology who pioneered laser treatments in the UK, and performed the first procedure in 1998. I had these treatments at his clinic in 2018, was the best money I ever spent, and I haven’t looked back since. I still get the odd skin break out BUT because of the treatments I have had I no longer need compression because I’m a very active runner and it usually heals just like any other sore. My condition was caused by a DVT at the age of only 36 through the contraceptive pill. My point is people are not being told they can potentially be cured or at least hugely improved. I realise not everyone has the money, but some do.
Stuff compression therapy. Why should people have to spend their lives walking around in bandages and compression hose. There are now procedures available that can cure or greatly improve venous insufficiency. Compression only treats the symptom and not the underlying cause so ulcers and other symptoms will only come back. Every person suffering with venous leg ulcers should be offered a vein mapping scan in order to identify incompetent veins and treated accordingly with the appropriate treatments, but this just does not happen.
Forget compression, why isn’t the NHS offering the latest venous insufficiency treatments and not treating the underlying cause. It’s a travesty that they’re spending two to three billion a year on wound clinics just managing the symptom rather that referring to a vascular service to treat the underlying cause. I lost seven years of my life to leg ulcers through a long misdiagnosed blood clot in my left leg. I eventually got the correct treatment at the Whiteley Clinic in London in 2018 and have not looked back. It was the best money I ever spent.
Venous leg ulcers shouldn’t be ‘just managed’ considering there are now some fantastic procedures out there that can cure or at least hugely improve the condition. Unfortunately, in the UK patients aren’t being referred for Duplex Scanning. The NHS would rather spend 2 to 3 billion a year on keeping these clinics going. It’s an absolute travesty.
As this video is perfectly done I would like to propose a few corrections just in the RU-vid-title ...... correct is: Kompressionstherapie - ein wichtiger Bestandteil der Behandlung der meisten Wunden am Unterschenkel
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Thank you for this clip and your work - it is one of the THE BEST told patient wound stories I have ever seen and I hope to encourage some of my wounded patients with it.
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Hi in december 2019 i had celuitis and upon cleaning for a month it had an underlying abscess. Had to have surgery where they cleaned it and was in hospital five days under antiobotics. A nurse came 3 days week at first due to drainage and upon 3 month one time a week to rewrap clean with mepilex dr it mon nurse wed 2x a week. I am diabetic and ankle wound finally closed on july 23, 2020 a total 7 months this is my 2nd closure. The first time it healed the doctor told me to clean with two fingerz delicately which i did upond 2nd day of washing it reopened. Dr said my skin so delicate becauase it will take time for skin to fully heal he said let soap water run down v But dont rub. Do you have any suggestions on how to clean a closed heal wound and apply moisurizer without reopening it?
What a powerful example of how a wound can have such a negative impact on the WHOLE person. Thank you EWMA for highlighting the need to look beyond the HOLE and focus on person-centered care as it changed this ladies life and will change many more. #HealingPeople not #HealingWounds.
AGAIN NO PATIENTS, this time under the guise of a 'tutorial'. Those masked volunteers are NOT doctors. Never would you have a situation where there is no i.d badge on any of them, just heavy disguises to hide their true identity. You need to quickly identify staff in an emergency and THEY WOULD HAVE i.d badges if this (even the tutorial) were real...
I am an algérien researcher (30 years of experience ), I found a New surgery that solve the problem of chronic wound , i named this new surgery (ointement surgery ) , because I used an ointement in the middle and during all the surgery , it is a new method (surgery + ointement) . I used this new surgery with the 1- Chronic wound. 2- Diabetic foot ulcer. In both cases the healing achived in few days (quick response). That new ointement I used has three healing properties at the same time. 1- Désinfect the wound. 2- Regenerate the cell tissue. 3- Healing the wound quickly. In another experiment , i wanted to multiply the speed of the regeneration of the cell tissue to reach the (0.4 cm/h)، and for that i applied the same ointement Without surgery but with another method، (ointement + multi Compresse applications) , and i used this méthode with 1- Third degree burn. 2- Secondary skin ulcer. 3- Diabetic ulcer and vascular wound. In all three cases the healing achieved in a few days (quick response) without need the plastic surgery.
I love this video. I wish I had the $$$ to pay myself to go to school and become a certified wound care nurse. I want to hear those stories. I want to share in the healing. I want to be there and help them all, everyone!
Dear EWMA members, 2017 was a great conference, a great meeting place and a great spot to present the latest clinical evidence on Vacutex for the wound professionals. Wound care is about to make the switch from subjective to objective, and evolving from Evidende Based Medicine towards Evidence Based Practise. After all, it is not the beauty of the RCT study protocol that is the most important, it is the positive result for the patient and the time and money savings for the medical practitioners. We look forward to be there again in Krakau. Thanks again to all the members of EWMA for organising the most advanced conference in wound care once again, and keep up the good work!
I was very interested in these new technology approaches using Apps. Also was hoping to hear something on Skin Microflora: The Determining Factor In Skin Health and any of your thoughts on treating wounds with prophylactic therapies.
