Wound Care Centers
BAPTIST HEALTH has a Wound Care Center at the Little Rock and North Little Rock hospitals. Anyone who has chronic, non-healing wounds may benefit from this innovative service designed specifically for evaluation and treatment of wounds. Many regular physicians' offices are not equipped with the special supplies and medications used to treat different types of problem wounds. In addition, a physician who has completed additional training in wounds may be helpful in sorting out the underlying cause of lack of healing.
Hyperbaric Oxygen Tanks (HBOT)
In use at the BHMC-NLR Wound Care Center. A treatment usually consists of lying in the chamber for 90-120 minutes while breathing 100% oxygen under pressure greater than 1 atmosphere absolute (ATA). This may occur in a single person chamber (monoplace) or a chamber holding two or more persons (multiplace). The usual pressure is 2 atmospheres (we are currently at 1 atmosphere of pressure which represents the weight of 6 miles of atmospheric gases above us). Two atmospheres is the equivalent of 14.7 lbs per square inch or of being under 33 feet of seawater. Most common treatment pressures are between 2-3 ATA.
Indications for HBOT
(as generally approved by Medicare):
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- Air or gas embolism – diving related or iatrogenic
- Carbon monoxide poisoning
- Gas gangrene (Clostridial myonecrosis)
- Crush injury, compartment syndrome, and other acute traumatic ischemias
- Decompression sickness (“the bends”), which is a form of decompression sickness caused by dissolved nitrogen leaving the tissues too quickly on ascent by scuba divers, manifested by pain, usually in the limbs and joints
- Selected problem wounds (particularly diabetic foot wounds)
- Necrotizing soft tissue infections (necrotizing fascititis)
- Chronic, refractory osteomyelitis
- Delayed radiation soft tissue and bony necrosis
- Compromised grafts and flaps