Patient was treated
Hermann Baptist Beaumont
Hospital Wound Healing Center
which is affiliated with Praxis
for Wound Healing
Williamson Street, Suite 104 - Elizabeth, NJ 07207
11year-old male involved in 4-wheeler accident seen in center 3 days after
trauma. Right foot involved in degloving injury with broken metatarsal
head, muscle, tendon, and fascial involvement. Surgical closure with
fixation pins done prior to first visit.
- Peri-wound area erythematous
- Moderate sero-sanguinous exudate
- Intense pain with touch.
- Strong pedal pulses
- 2+ pitting edema
- Room-air TCpO2- 20 mmHg
COMPREHENSIVE WOUND HEALING CENTER MANAGEMENT:
03/21/02 Initial assessment. HBO initiated BID. Inchamber TCpO2
achieved 760 mmHg at 2.5 ATA. Wound measurements are 12 cm x 8.2 cm x
03/22/02 Infectious disease consult resulted in IV clindamycin and
03/25/02 HBO reduced to once daily treatments.
04/01/02 Surgical debridement.
04/07/02 Wound measurements 3.2 cm x 5.0 cm x .4 cm. Surgical
04/08/02 Plastic surgery consult for split-thickness skin graft.
04/13/02 HBO discontinued.
05/15/02 Discharged to outpatient care.
05/23/02 Wound resolved. Wound healed with maturing, contracting skin
graft. Referral to orthotics for custom insole.
05/23/02 Child able to return to school and playing baseball by
mid-summer. He wrote us a long, sweet letter stating "Thanks for
everything. If it wasnít for the oxygen treatments, I would have lost my
foot. At least thatís what Mom says but I think it was all of the love
from you guys".
Patients should be referred to the Center for
Wound Healing and Hyperbaric Medicine at Trinitas Regional Medical Center for
aggressive, outcome based wound management. Our center is
designed to compliment the attending physicianís services by providing
expert wound management consultation and care including the
application of advanced wound care technology and hyperbaric oxygen
treatment as indicated based on a comprehensive system of evidence
based clinical practice guidelines. The referring physician will
continue to treat comorbid conditions and provide for the patientís
overall medical care. Hyperbaric oxygen treatment is available
specifically for the treatment of soft tissue radionecrosis,
osteoradionecrosis, osteomyelitis, clostridial myonecrosis and other
necrotizing soft tissue infections, compromised skin grafts and flaps,
crush injuries and other acute traumatic ischemias, and diabetic
wounds of the lower extremities. All etiologies of wound healing
failure are accepted for evaluation and care.
Types of wounds treated include
Diabetic, Venous Stasis, Ischemic, Pressure, Traumatic, Surgical and
other wounds that resist healing.
Problem wound patients should be referred to
the Center when:
wound has failed to show significant progress in 4 weeks of standard
the wound involves deep tissue structures or is limb or life
the wound is complicated by significant comorbidities including
vascular disease, persistent edema, persistent infection,
prior radiation treatment
to the area, or compromised immune status of the patient
To refer a patient, please call
(908) 994-5480 or visit us at