“What Am I Putting on My Wounds and Why?”
Jacob Wynes, DPM, MS, FACFAS—Assistant Professor at University of Maryland and Program Director for Limb Preservation and Deformity Correction Fellowship—delivers a practical CME lecture on chronic wound management, wound physiology, and strategic topical therapy selection.
Key Insights:
- Wound Physiology Primer: Covers the phases of healing and common barriers such as biofilm, presence of non-viable tissue, infection, and patient-level factors (e.g., smoking, substance use).
- Diagnosis Before Treatment: Emphasizes identifying wound etiology through assessment of perfusion, infection, pressure, and systemic health before selecting dressings.
- Topical Treatment Rationale: Guides clinicians on choosing between dressings—such as hydrogels, alginates, foams, silver-based options, and more—based on exudate levels, wound depth, infection risk, and tissue requirements.
- Management of Biofilm & Debridement: Advocates for combining physical debridement, anti-biofilm agents, and appropriate dressings that support autolytic debridement while maintaining an ideal moisture balance.
- Patient & System-Level Considerations: Discusses how patient behavior (e.g. smoking, poor nutrition) and social issues (e.g. housing, access to care) critically influence wound healing success.
This CME activity reinforces that effective wound care requires a thoughtful, physiologic approach—balancing scientific rationale, patient context, and appropriate product selection for optimal healing outcomes.
Keywords:
Jacob Wynes, DPM, MS, FACFAS,
wound physiology,
topical therapy,
biofilm management,
chronic wounds,
debridement