CLINICAL EVENTS CALENDAR
- Nov 18,2009Nov 21,2009Yucatan Pediatric Seminar11/18/2009 - 12:2111/21/2009 - 12:21
Northwest Podiatric Foundation
Yucatan Crippled Children's Project
Merida, Mexico
Hyatt Regency Merida Hotel
1-866-286-NWPF - Jan 10,2010Jan 17,2010Winter Seminar at Sea01/10/2010 - 12:2401/17/2010 - 12:24
Northwest Podiatric Foundation
Southern Caribbean Cruise
RCCL - The Adventure of the Seas
1-866-286-NWPF - Apr 17,2010Apr 20,20102010 SAWC Spring04/17/2010 - 11:2304/20/2010 - 11:23website:
Gaylord Palms Hotel and Convention Center
Orlando, FL - Jul 15,2010Jul 18,2010The 2010 APMA Annual Scientific Meeting07/15/2010 - 13:2607/18/2010 - 13:26website:
Washington State Convention & Trade Center
Seattle, Washington
Non-Accredited Education
Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited
Understanding Collagen Dressings and their Benefit in Wound Care
Complimentary Archived Webcast
non-accredited
Can Teams Trump Technology When It Comes To Optimal Care For High-Risk Patients?
Can teams trump technology in the new healthcare debate? I ask this question because I continuously see many patients referred to the Southern Arizona Limb Salvage Alliance (SALSA) who have been relegated to amputation. This is not because they have not had access to technology. In fact, most have had extensive work done by well-intentioned clinicians. What frustrates me, and I know my SALSA partners agree as well, is the lack of access to a team.
Current SALSA Research Efforts To Preserve The Pedal Peninsula
Greetings from the Southern Arizona Limb Salvage Alliance (SALSA). Joseph Mills, MD, and I recently did an interview with one of our professional magazines and we were reflecting on the unique nature of the diabetic foot. The diabetic foot is at the end of what I refer to as an “anatomic peninsula.” For that reason, the diabetic foot is hostage to the supply from the “anatomic mainland.”
Wound Chemotherapy: Can It Help Facilitate Optimal Outcomes?
At the Southern Arizona Limb Salvage Alliance (SALSA), we are frequently saddled with the most complex patients (and wounds) I have worked with in my career. Our "Toe and Flow" philosophy has been evolving to develop what we call “wound chemotherapy.”
Lately, we have been very active in modifying many of the techniques first described by Wim Fleischmann, MD, PhD, and others to provide active matrix management (negative pressure wound therapy) with other chemotherapeutic tools (i.e. antimicrobials/antiseptics, analgesics, etc.) to manipulate the wound environment.
SALSAisms: Lingo From The University Of Arizona's "Toe And Flow" Service
On our "toe and flow" service at the Southern Arizona Limb Salvage Alliance (SALSA), we often operate in close quarters. This has led to many appellations for and colloquialisms used by various team members. Here is a partial (and running) list:
1. Toe Bless Oblige: The obligation to improve foot care
2. Podshine
3. Der DopplerGanger: Referring to one's vascular partner
4. Sir I-Pod: International podiatrist
5. PodCaster
6. Toe Mechanic
7. Podiatric physician extender: Given to our vascular surgical team
Raising Questions About The Treatment Of MRSA In Hospitals
I am fascinated at the current nationwide trend we see in our hospitals toward precautions for methicillin resistant Staphylococcus aureus (MRSA).
Much of this trend in the United States has been sparked by last year's “present on admission” criteria from the Centers for Medicaid and Medicare Services (CMS) that limited reimbursement for the increased complexity of treating these patients if the infection was not “present on admission.”
Does Your Hospital Have A DRRAFT?
In the ongoing collaboration between the Infectious Diseases Society of America (IDSA) (www.IDsociety.org/) and the Southern Arizona Limb Salvage Alliance (SALSA) (www.DiabeticFootOnline.com/), we have proposed the following key skill set for any multidisciplinary team dedicated to amputation prevention.
We refer to this team as the Diabetic Rapid Response Acute Foot Team (DRRAFT). Here are the key skills for such a team.
Modified SALSAstand Fixation/Offloading For TMAs And Fragile Flaps
Many clinicians have offered means of offloading the posterior diabetic foot both with and without internal fixation. We offer a modification of a post technique described by Saul Trevino, MD.
In this modified technique, we reinforce the posts with a posterior distal to proximal anterior hypotenuse, using the Hoffman II Modular Fixation System (Stryker Orthopaedics) in a patient with end-stage renal disease and a gangrenous forefoot. We were able to correct the patient’s equinovarus position with an Achilles tendon lengthening and external fixation.
We believe this aggressive stabili
William Fishco, DPM, FACFAS
Michelle L. Butterworth, DPM, FACFAS
Lake Charles, Louisiana
Hampton Bays and Long Island, New York
Various Locations- Indiana , Ohio
CME Showcase
"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"
A Complimentary On-Demand CE/CME Webcast This activity is supported by an educational grant from Advanced Biohealing. To access this Webcast, visit www.naccme.com/program/n-550/ |
 Current Concepts In Diagnosing And Treating MRSA In The Diabetic Foot This activity is supported by an education grant from Pfizer. To access this activity, visit www.naccme.com/program/n-528/ |
 MRSA And Diabetic Foot Wounds: Where Do We Go From Here?Archived Accredited Webcast with Q&A This activity is supported by an educational grant from Pfizer. This activity is sponsored by the North American Center For Continuing Medical Education (NACCME). |
 PERIPHERAL ARTERIAL DISEASE (PAD) AND CRITICAL LIMB ISCHEMIA (CLI):Managing Vascular and Wound Healing Challenges with Current and Emerging Technologies Archived Accredited Webcast with Q&A This activity is supported by an educational grant from Baxter Healthcare Corporation. |
Podiatry Today News Wire
- Friday, September 12, 2008 - 15:29
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