Wound Preps

Wound bed preparation is important because without proper preparation even the most expensive wound-care products and devices cannot produce positive results. The goal is to create a stable, well-vascularized environment that assists in healing chronic wounds. Prior to wound preparation you must assess the patient’s condition wound history, physical wound characteristics, and availability of resources.

The most common method for wound preparation is DIME which stands for:

  • Debridement
  • Infection or Inflammation
  • Moisture balance
  • Epithelial advancement

Some Products that may aid in Wound Bed Preparation are:

  • Moisture Barriers like AquaGuard

  • Iodine Swabsticks like Povidone 

  • Cotton Balls 

  • Applicators 

  • Adhesive Remover Pads 

  • Non Adhesive Arm Dressing Holders 


At HPFY, we offer a wide range of such wound preps from various top-selling manufacturers like Medline Industries, Mckesson, Cardinal Health, Dynarex Corporation, etc.


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DIME Method for Wound Preparation

Debridement

Cell debris impairs wound healing and therefore nonviable tissue must be removed from the wound bed. It is evident from research and clinical trials that debriding necrotic or fibrous tissue accelerates healing. First aid debridement pads like Debrisoft Pad help in wound debridement with visible results in 3-4 minutes.

Infection or Inflammation

The next step to debridement is to assess the wound for superficial or serious infection, persistent inflammation, extensive colonization, and cellulitis. Wound bed preparation is directly affected by bacterial infection. Wound healing is hampered because the extracellular matrix and growth factors degrade at a faster pace than they synthesize, hindering progression toward the proliferative phase and eventually affecting re-epithelialization. Infection control can be undertaken by using effective antiseptic skin treatment products like the Povidone Iodine Prep Solution.

Moisture Balance

It is important to maintain a moist wound healing environment in order to promote wound healing. Appropriate amount of moisture aids the action of growth factors and cytokines and assists migration of cells like fibroblasts and keratinocytes. But attaining a correct moisture balance is quite challenging. Excess moisture may harm the wound bed and surrounding skin, resulting in maceration and skin breakdown whereas inadequate moisture may hamper cellular activities and increase slough, resulting in poor wound healing. A typical wound preparation plan must include wound management strategies, such as manual drainage, compression devices and garments, absorptive dressings, and negative pressure wound therapy.

Epithelial Advancement

Migration of epidermal cells and keratinocytes shows that the wound bed is satisfactorily prepared. Wound contraction is another important sign of adequate wound bed preparation.