My Wound Didn't Heal Right - Factors for Wound Healing or NOT Healing Right

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I read a very nice mneumonic recently that is worth passing on to other doctors and patients - factors that impair wound healing.

DIDNT HEAL

D - Diabetes

I - Infection

D - Drugs (steroids)

N - Nutritional problems

T - Tissue necrosis from radiation injury

 

H - Hypoxia (inadequate oxygenation)

E - Excessive tension on wound edges

A - Another wound in the body

L - Low temperature as in the distal parts of the body (feet) or hypothermia

 

This mneumonic allows us to remember these factors easily - it was taken from an article written by Richard Stillman, MD FACS in emedicine.com accessed on September 30, 2008.

 

 

Article by
Buffalo General Surgeon