1. 1 Dr. Daniel Moore Medical Director Tammy Wolbert Program Director Vicky Hartsell Clinical Nurse Manager

2. 2 Benefits of A Wound Center Patients > Faster healing rates > Fewer infections and complications (including amputations) > Fewer recurrences. > Convenient, comprehensive care Physicians > Focus on underlying wound etiology > Improved office efficiency > Regular communication > Increased Patient satisfaction > Multi-disciplinary team approach

3. 3 Systematic Process Every 4 weeks Patient is referred to outpatient Wound Healing Center H&P & diagnostics determine underlying wound etiology Individual treatment plan is devised and followed during weekly visits with the same wound team. Adjustments in treatment plan if necessary Outliers reviewed by multi-disciplinary physician panel.

4. 4 The Clinical Pathway The Clinical Pathway is a starting point, a procedural map that is highly flexible. It is designed to support, not supercede the physician's interpretation. 4

5. 5 Advanced Wound Care Therapies 5 Vacuum Assisted Closure TM Therapy Hyperbaric Oxygen Chamber Transcutaneous Oxygen Monitor (TcP0 2 ) Integra Doppler 5

6. 6 Advanced Treatment Modalities DH Walker Felted-Foam Offloading Apligraf Regranex Gel Promogran 6

7. 7 > Decubitus (pressure) ulcers > Venous stasis ulcers > Diabetic/neuropathic ulcers > Ischemic/arterial insufficiency ulcers > Failed flaps/grafts > Osteoradionecrosis > Post-radiation soft tissue > Necrotizing infections > Crush injury > Spider Bites (Brown Recluse) Our Wound Healing Center Heals

8. 8 Hyperbaric Oxygen Therapy

9. 9 HBO Therapy uses 100% oxygen breathed at increased atmospheric pressure > A patient is enclosed in a chamber > Atmospheric pressure is increased > Typically pressure is 2.0 – 2.5 Atmospheres Absolute (ATA) > 100% oxygen is breathed

10. 10 Oxygen Transportation in the Blood > Hemoglobin molecules become 96-98% saturated > Plasma is usually a poor transporter of oxygen > Increased partial pressure of oxygen causes increased plasma transport of oxygen

11. 11 Physicians Meet your Wound Center

12. 12 Daniel Moore, MD Professor and Chairman Department of Physical Medicine & Rehabilitation The Brody School of Medicine

13. 13 Clinton Faulk, MD Director of Pulmonary Rehabilitation Department of Physical Medicine & Rehabilitation The Brody School of Medicine

14. 14 Raymund Millan, MD Director of Residency Program Department of Physical Medicine & Rehabilitation Spinal Cord Injury The Brody School of Medicine

15. 15 Anthony Frank, MD Clinical Asst. Professor Department of Emergency Medicine The Brody School of Medicine

16. 16 John Meredith, MD Clinical Asst. Professor/Director Emergency Preparedness Department of Emergency Medicine The Brody School of Medicine

17. 17 Brett Waibel, MD Department of General Surgery Trauma & Surgical Critical Care The Brody School of Medicine

18. 18 Jeffrey Pierce, MD Department of Physical Medicine & Rehabilitation The Brody School of Medicine

19. 19 Laura Bergs, FNP Physical Medicine & Rehabilitation The Brody School of Medicine

20. 20 William Rucker, MD Clinical Asst. Professor of Surgery Department of General Surgery The Brody School of Medicine

21. 21 Michael Bard, MD Department of General Surgery Trauma & Surgical Critical Care The Brody School of Medicine

22. 22 Mark Newell, MD Department of General Surgery Trauma & Surgical Critical Care The Brody School of Medicine

23. 23 Happy Holidays! From Your Wound Center Staff