20th June 2014 Richard Leigh

What are FPT and MD(f)T? Foot Protection Team –Community Based –Also within hospitals with no MDT MultiDisciplinary (footcare) Team –Hospital based The aim of both Teams is to prevent foot pathology in people with diabetes.

Ulcer Formation due to Shearing Stress Callus formation Deep Tissue Rupture Ulceration Infection and Superficial Closure Cellulitis, Sepsis, Tracking, Osteomyelitis

Neuropathic ulceration secondary to callus formation

Spreading Cellulitis

To FPT –Patient has superficial lesion –Patient has neuropathy and another other foot pathology –If you are not sure Urgent ie same day to MD(f)T –Patient has a hot, swollen foot; FOOT ATTACK! –Neuropathic patient has sudden onset of pain –Any ulceration

To FPT –Claudication –Nocturnal Waking Cramps –Monophasic/No Flow –You suspect ischaemic changes Urgent ie same day to MD(f)T –The above with any ulceration –The above with gangrene

Time is Tissue Lateness costs Limbs and Lives