Things that will cause you to fail the practical

arterial wound contraindications

sharp debridementcompressionhydrocolloid dressings (occlusive dressings in general)

compression contraindications

infectionABI < 0.7spasticityDVTclaustrophobiauncontrolled CHFcardiac/pulmonary edemacomplex regional pain syndrome

Before doing an ABI, what must be done?

Wells Criteria to rule out DVT

total contact casting contraindications

ABI < 0.5fluctuating edemapt non-adherenceinfectionosteomyelitisgangrene

Alginate contraindications

dry woundsexposed tendon, capsule, bone etcthird degree burns

hydrocolloid contraindications

infectiondry, arterial, third deg burnsheavily exudating woundswounds w deep exposed structure (must pack wound)fragile skincaution w immunocompromised pts

transparent film contraindication

infectionmod-heavy exudationpts w fragile skin

hydrogel sheet contraindications

mod-heavy exudateinfection

hydroactive contraindications

infecteddry

collagen contraindications

infectednecrotic

vasopneumatic compression devices contraindications

(all general compression)acute fxelevated BP/HTN (140/90)

autolytic debridement contraindications

infectiongangrenedeep cavitywounds that require sharp and surgical debridement

wounds that require surgical debridement

gangreneosteomyelitisstage 3/4 pressure injuries that have extensive tunneling and undermining

enzymatic debridement contraindications

callusfacial burnswounds w deep exposed structureswounds without necrosissilver

sharp debridement contraindications

PADstable heel ulcersunidentifiable tissueswounds where tissue cannot be visualizedwounds requiring surgical debridement: gangrene, stage 3/4 w extensive tunneling and undermininganticoagulants, thrombocytopenia, immunosuppressionpts who are terminally ill

pulsed lavage contraindications

wounds w deep exposed tendon, capsule, bonelatex allergyvascular bypass graft siteactive bleedingfacial wounds

estim contraindications

across chestanterolateral neckcardiac pacemaker implanted deviceseyes, gonad, phrenic nuncontrolled seizuresAV thrombosisareas w severe compromised blood flowskin/lymph cancermalignancypregnancy (absolute if h/o miscarriage)unstable fxsuperficial metal (titanium okay)osteomyelitissimple uncomplicated woundsosteomyelitis woundscancer-related woundsactively bleedingheavy metal topical agents

laser contraindications

endocrine glandsepiphyseal platespregnancyactive malignancydirect eye exposureepilepsyactive hemorrhage

HBOT contraindications

untreated hemo/pneumothoraxCOPD/asthma/acute resppregnancysevere arterial insufficiency (< 30)current chemo/radiationclaustrophobiarecent inner ear/sinus surgerycertain antibiotics

US contraindications

across chestanterolateral neckCNS tissuejoint cementplastic componentshemophiliacompromised blood flowthrombophlebitisdecreased sensationpregnancymalignancy

NPWT contraindications

unexplored fistulasexposed vesselsdrynecroticinfectedosteomyelitisgangrenemalnourishmentactively bleeding