Simple Wound Debridement
- Good lighting
- Comfortable place for the patient to put their feet up
- Comfortable seat for the provider
- #15 disposable blade scalpel
- Non-sterile gloves
- Protective eyewear
- 4 X 4 gauze
- Wash foot with soap and water. Do not use Betadine.
- Anesthesia is usually not needed for this procedure.
- Scrape center of wound to remove dead tissue until there is bleeding and seepage and pink healthy tissue appears.
- Leave the margins of the ulcer undisturbed.
- Cover ulcer and foot with wet-to-dry saline dressing.
- Wrap with Kerlix.
- Instruct the patient or caregiver to change dressing daily (or 2 times daily if there is excessive drainage) while the ulcer heals.
- Instruct the patient to be non-weight bearing or use a special off loading boot.
- Follow up weekly for any additional debridement.
- Ulcers can take up to several months to heal.
Monitor wound size:
- Refer the patient to a wound specialist if wound size is not reduced in size by 25% in 2 weeks.
- Or if wound becomes complicated by extensive cellulitis, deep space infection, gangrene, or systemic infection.