Assessment & Diagnosis
1) A chronic wound is a diagnosis.
2) If it looks infected, it is infected.
3) Swab cultures tell us everything.
4) All non-healing wounds need antibiotics.
5) Pain equals severity.
6) No pain means no problem.
Perfusion & Vascular
7) Palpable pulses mean adequate perfusion.
8) A normal ABI rules out ischemia.
9) Venous disease and arterial disease don’t coexist.
10) Perfusion only matters at baseline.
Wound Bed & Biology
11) Granulation tissue always means healing.
12) Slough is always infection.
13) Dry wounds heal faster.
14) Exudate is always a bad sign.
15) Biofilm equals infection.
Debridement
16) Debridement is optional.
17) One debridement is enough.
18) Debridement increases infection risk.
Dressings & Products
19) The right dressing can overcome poor etiology.
20) More advanced dressings mean better outcomes.
21) Frequent dressing changes equal better care.
Mechanics: Pressure, Load, Edema
22) Offloading is supportive care.
23) Compression is just tight bandaging.
24) Edema control is secondary.
Infection & Antimicrobials
25) Topical antimicrobials are harmless.
26) Escalating antimicrobials solves stagnation.
Technology & Trends
27) Technology replaces clinical judgment.
28) AI can diagnose wound etiology.
29) More data automatically improves decisions.
Outcomes & Time
30) Time alone will tell if a wound will heal.”
🧠Critical thinking
Etiology first
Perfusion always
Mechanics matter
Biology responds to systems, not products
Technology supports thinking — it doesn’t replace it
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