Multi Service Pages  |  Woundcare Pathway - Red Flags




PATHWAYS


Multi Service Pages

Woundcare Pathway - Red Flags

Red Flags

(Nursing) Patients/clients who present with the following should have immediate care via GP:

  • Minor Acute Burns
  • Minor animal/human bite
  • Cellulitis

(GP's) Patients/clients who present with the following should have immediate care via Emergency Department:

  • Degloved limb or digits/toes
  • Extensive avulsion/laceration
  • Excessive bleeding
  • Toxic cellulitis
  • Extensive cellulitis
  • Extensive skin tear
  • Gangrene
  • Necrotising Fasciitis
  • Pyoderma gangrenosum
  • Penetrating wounds
  • Sudden necrosis of limb
  • Sudden painful cool/cold leg, foot or toes.
  • Underlying structures or bone visible
  • Suspected Cancer/BCC/SCC referral to appropriate speciality.


Malignant lesions

Consider malignancy in wounds which fail to heal.  Clues are thickened or rolled edge, induration/thickening.  Chronic wounds can induce development of SCC; SCC or BCC may be the reason a wound fails to heal. Biopsy - in large wounds a 5-10mm incisional biopsy from the edge of the wound, plus a punch biopsy from any thickened area in the centre.

See Referrals



Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.