Instructions
Please Follow These Time Tested Suggestions:
- Prior to application of DermaWound (any one of 4 types), evaluate the wound or ulcer. Insure that no active pulsing of blood from an artery or vein is present. As the DermaWound quickly works, new capillaries will form and break as new vasculature is established, so spotting is normal and is to be expected with each dressing change.
- Gently rinse with clean water or normal saline. Use a shower head, squirt bottle or syringe. *Do NOT actively clean out the wound bed - never, ever, ever*. Very Important!!!
The wound itself does not need to be thoroughly cleaned and residue free.
This can not be overemphasized. Whatever does not come off with normal irrigation (water or saline in a squirt bottle; shower or bath) or on the gauze pads during a dressing change, will come off at a later date when it's ready. - Gently dry around the wound or ulcer. Let entire area air dry for 3-5 minutes, no more.
It is important to let the area that holds the tape get a chance to breathe and dry out, to help prevent maceration (moist skin breakdown) of the surrounding healthy tissue. - Spread DermaWound on a 4x4 or 2x2 Cotton Gauze Pad, or apply directly to the affected area, to a height of approximately 1/4 - 1/2 inch - like a thick layer of peanut butter - covering the entire wound area, overlapping the border edges 1/4 inch.
- Apply the DermaWound side of the gauze to the wound.
Deeper and tunneling wounds (ex. pressure/bed sores) should be packed to the surface with DermaWound. - Apply 3-4 discontinuous layers of additional 4x4 or 2x2 gauze over the wound or ulcer for additional padding and to soak up the exudates that will be quickly pulled out (if wound is draining and swollen). Use less gauze if it is not draining.
If necessary apply an ABD pad over the pile of gauze to ensure a tight, even seal when edges are secured. The bandage should be occlusive. In some instances you can just not get a tight seal (perineal region/between sex organs & anus), just do the best you can.
On the sacrum, hip, or relatively flat areas, make sure the edges of the gauze are secured (with paper tape or Medipore tape) to help prevent leakage.
If the wound or ulcer is on a leg or foot, use a Kerlix gauze or J&J No.1 rolled gauze as an "Ace" bandage to hold it in place.
A comfortable Pressure Stocking may be used in conjunction with any bandage or by itself.
Any adhesive tape is OK, as long as the person does not have a sensitivity to it. - Dressing changes, on average, should be done twice a day
(every 12 hours). - If the wound or ulcer is Very Infected, Purulent and Draining, it should be changed three times a day (every 8 hours) initially.
Brown Recluse bites should also be changed 3x day (every 8 hours first 3 days, then every 8-12 hours thereafter). - If infected and draining, major amounts of pus, exudates or discharge on the gauze is good and normal in the beginning (first few days). Old Venous Stasis ulcers (>6 or 9 mo. +) can drain up to 12 weeks.
- Again... do not actively clean out the wound bed - there is primordial epithelium forming and it should not be disturbed or wiped out!
- When changing the dressing every 8-12 hours, re-dress the wound or ulcer following the instructions in #'s 2, 3, 4, 5, 6, and 7 above.
- Continue to use DermaWound to cover the affected area as it closes, until you literally need just a small amount to cover the small remaining wound area.
Continue to use until the defect has resolved completely.
That's it! Please follow the suggested 15 year old instructions/algorhythm and do not be creative!
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