New Concentrated Smooth
& Soft Texture!
Excellent Adherance to Uneven & Hard to Reach Surfaces.
come with purchase)
You Will Need Is:
a. One of Four DermaWound Brand
Products for your specific condition.
b. Cotton Gauze Pads/Sponges,
(i.e. 4x4's, 2x2's, etc. wound-size dependent);
c. Tape of your choice; whatever is less irritating.
d. Possibly a Kerlix-type bandage (gauze webbing that resembles
an "Ace" bandage) depending on the type of wound (leg
or ankle involvement);
(B,C & D can all be found in our Discount
Gauze & Tape section: Click
e. A clean water source for bathing / cleaning / rinsing
the wound site.
Obviously the gauze needs to be new and packaged, but does not need to come
in sterile individual packing. In general, Wound Care at home
is not a sterile procedure; so why should anyone at home be forced
to spend money for sterile and individually wrapped supplies they
don't need? (We do not recommend using Bulk Packing in an Institutional
setting, unless it stays at the patients bedside and handwashing
protocol is strictly enforced.) Talc-free disposable gloves
should be worn with each dressing change, but they also do not
need to come in sterile packaging (like in an operating room)
- which also reduces overall cost.
Follow These Time Tested Suggestions:
1. Prior to application of DermaWound (any one of 4 types), evaluate the wound or ulcer. Insure that
no active pulsing of blood from an artery or vein is present.
As the DermaWound quickly works, new capillaries will form and
break as new vasculature is established, so spotting is normal
and is to be expected with each dressing change.
2. Gently rinse with clean water or normal saline. Use
a shower head, squirt bottle or syringe. *Do NOT actively
clean out the wound bed - never, ever, ever*. Very Important!!!
The wound itself does not need to be thoroughly cleaned
and residue free.
This can not be overemphasized. Whatever does not come off
with normal irrigation (water or saline in a squirt bottle; shower
or bath) or on the gauze pads during a dressing change, will come
off at a later date when it's ready.
3. Gently dry around the wound or ulcer. Let entire
area air dry for 3-5 minutes, no more.
It is important to let the area that holds the tape get a chance
to breathe and dry out, to help prevent maceration (moist skin
breakdown) of the surrounding healthy tissue.
4. Spread DermaWound on a 4x4 or 2x2 Cotton Gauze Pad, or apply directly to the affected
area, to a height of approximately 1/4 inch - like a thick layer
of peanut butter - covering the entire wound area, overlaping
the border edges 1/8 inch.
5. Apply the DermaWound side of the gauze to the wound.
Deeper and tunneling wounds (ex. pressure/bed sores) should
be packed to the surface with DermaWound.
6. Apply 3-4 discontinuous layers of additional 4x4 or
2x2 gauze over the wound or ulcer for additional padding and to
soak up the exudates that will be quickly pulled out (if wound
is draining and swollen). Use less gauze if it is not draining.
If necessary apply an ABD pad over the pile of gauze to ensure
a tight, even seal when edges are secured. The bandage should be occlusive. In some instances you can just not get a tight
seal (perineal region/between sex organs & anus), just do
the best you can.
On the sacrum, hip, or relatively flat areas, make sure the edges
of the gauze are secured (with paper tape or Medipore tape) to
help prevent leakage.
If the wound or ulcer is on a leg or foot, use a Kerlix gauze or J&J No.1 rolled gauze as an "Ace"
bandage to hold it in place.
A comfortable Pressure Stocking may be used in conjunction with
any bandage or by itself.
Any adhesive tape is OK, as long as the person does not have a
sensitivity to it.
7. Dressing changes, on average, should be done twice
(every 12 hours).
8. If the wound or ulcer is Very Infected, Purulent
and Draining, it should be changed three times a day (every 8
Brown Recluse bites should also be changed 3x day (every 8 hours
first 3 days, then every 8-12 hours thereafter).
9. If infected and draining, major amounts of pus, exudates
or discharge on the gauze is good and normal in the beginning
(first few days). Old Venous Stasis ulcers (>6 or 9 mo. +)
can drain up to 12 weeks.
10. Again... do not actively clean out
the wound bed - the whitish, yellowish slough is basically a soft scab that is very important as it protects the primordial epithelium in the granulation tissue and should not be wiped off or removed.
11. When changing the dressing every 8-12 hours, re-dress
the wound or ulcer following the instructions in #'s 2, 3, 4,
5, 6, and 7 above.
12. Continue to use DermaWound to cover the affected area as it closes, until you literally need
just a small amount to cover the small remaining wound area.
Continue to use until the defect has resolved completely.
That's it! Please follow the suggested
15 year old instructions/algorhythm and
do not be creative!
Free Wound Care Support Hotline
Monday-Friday 9am-4pm PST 1.866.727.0462
Effects / Precautions:
1. 33% - transient smarting or stinging sensation,
fades after 15 minutes.
Every product on Earth has the potential for an allergic reaction
2. 1-3% Local Allergy - Persons who are allergic or
sensitive to Iodine or shellfish should avoid DermaWound
Original and DermaWound
Venous Stasis (VS).
3. 1-2% Local Allergy - Persons allergic or sensitive
to "-caine" based products (novocaine,
benzocaine, etc.), should avoid DermaWound
VS and Venous
Stasis Hypo Allergenic Formula.
We have an DermaWound
Original Hypo Allergenic Formula formula
for these rare instances.
So... Allergic to Iodine, but need DermaWound
Original Formula ?
Use DermaWound Original Hypo Allergenic Formula.
Allergic to Iodine, but need DermaWound
Venous Stasis ?
Use DermaWound Venous Stasis Hypo
Allergic to Benzocaine, but need DermaWound
Venous Stasis Formula or
DermaWound Venous Stasis Hypo
Allergenic Formula ?
Use DermaWound Original Hypo
If a local allergic/sensitivity reaction does occur, it simply
requires removal of product, followed with clean water irrigation.
Local symptoms (a burning sensation) will subside within 1/2 to
one hour. Do not hesitate to call if you think you are sensitive
- just because the product keeps working and you are happy to
find something that really works well for the 1st time - if you
think you are becoming sensitive, call us and stop using immediately.
5. No continuous/pulsatile bleeding (i.e. after a sharp debridement
- which is usually not necessary due to the natural debriding
properties of these products) should be present for 24 hours before
the use of DermaWound.
One of the many ways DermaWound works is by naturally increasing circulation to the damaged area,
which promotes new vessel formation. With that in mind, spotting
of blood is normal and expected during dressing changes.
6. If you are using DermaWound on your feet or legs and need to walk around during the day, use
after an evening bath or shower. During the day use a broad sprectrum
Triple Antibiotic Ointment like a Bacitracin or Polysporin to
keep the wound from drying out.. If you will not be ambulating
(walking) a lot during the day or night, you can try our new Formula
24/7 to see if it will be comfortable or not. Please be conservative
in your approach.
up and going to the bathroom or kitchen is always OK; walking
the dog may not be.
avoid Neosporin (irritates/we think it's the
type of Neomycin) and Silvadene (stops healing/we have no idea
why) as a daytime or activity salve/ointment.
regards to the legs, feet, ankles or toes - even if it does feel comfortable and you are finally out of pain, we still suggest
the product be removed while active or working.
active with Venous Stasis Ulcers, Men & Women, please
wear a mild knee-high compression stocking (15-20 mmHg) during
the day or working hours - ALWAYS (even after you are completely
healed to help avoid future breakdown). They should be comfortable...
make sure they are not so tight that you do not want to wear them.
higher pressure stockings are not as comfortable and cost a whole
lot more - so, we have not seen a difference in effectiveness
to justify their use.
everyone knows in this situation and has been told by every doctor and nurse in the world, ideally one should be
non-weight bearing (crutches or scooter) if they have wounds on
their feet. But many people still have to work or are alone,
so you have to do what you have to do and we realize that. If
any questions arise, we recommend calling our Wound Care
Support Hotline for tips.