Pressure injuries caused by medical devices are more common than many realize, especially in the ICU. In this episode, Dr. Lee Ruotsi is joined by Dr. Kelly McFee, DNP, a seasoned wound care expert and past Chair of the Board of Directors at the American College of Clinical Wound Specialists, to talk about what causes these injuries, where they show up, and how to prevent them.

Dr. McFee shares what she learned while working with critically ill patients during the COVID-19 pandemic, when the use of respiratory devices like BiPAP and CPAP led to a spike in facial injuries. She explains how her team responded by creating a simple, grab-and-go dressing bundle that helped drive compliance and made prevention easier for staff. They also get into early detection tools like SEM scanners and the importance of recognizing psychological impacts, especially when injuries are visible on the face.

For anyone involved in caring for high-risk patients, this conversation is full of practical strategies that can make a real difference.

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Preventing pressure injuries in children isn’t just about scaling down adult care plans. In this episode, Dr. Lee Ruotsi is joined by Meredith Sharp, a certified wound ostomy nurse with years of experience in pediatric trauma and outpatient family medicine. They dig into why pediatric patients face unique challenges in pressure injury prevention and what caregivers can do differently.

Meredith talks about how pressure injuries in kids are most often device-related, why standard devices aren’t always pediatric-friendly, and what clinicians should know about microclimate control, gestational age, and skin anatomy. They also discuss the importance of family education and the role of parent involvement in safe repositioning.

This conversation offers real, practical strategies to help protect vulnerable pediatric patients, whether you’re working in a NICU, PICU, or outpatient setting.

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Pressure injury prevention in rural and underserved populations presents distinct challenges, including limited access to care, provider shortages, and gaps in insurance coverage.

In this episode, Dr. Lee Ruotsi speaks with Dr. Bernadette Walters, Doctor of Nursing Practice and certified wound, ostomy, and continence nurse, about the unique barriers facing patients in rural settings. Drawing from her clinical experience in Northern New Mexico, Dr. Walters shares insights on resource limitations, the role of family caregivers, and the importance of patient education in prevention efforts.

They also discuss strategies that can be implemented in low-resource environments, from repositioning techniques to nutritional guidance, as well as the broader systemic issues affecting care delivery in these communities.

This episode offers practical perspectives for clinicians, administrators, and care teams working to improve outcomes in vulnerable populations.

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Pressure injuries are a major concern across all care settings but in long-term care (LTC) facilities, prevention can get especially complicated. Limited staff, evolving patient acuity, and regulatory hurdles all play a role.

In this episode, Dr. Lee Ruotsi is joined by Cathy Milne, an advanced practice wound, ostomy, and continence nurse with over 35 years of experience across acute care, LTC, home health, and outpatient settings. Cathy shares what’s really happening in long-term care facilities, from staffing shortages and training gaps to documentation burdens and the day-to-day challenges of prevention.

They explore how LTC teams are often ahead of the curve in pressure injury prevention, how foam dressings and better assessment practices can improve outcomes, and why CNA education, patient autonomy, and family involvement are all key to success. Whether you're in long-term care or supporting transitions of care, this conversation offers practical insight into protecting a vulnerable population.

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This episode is part of Season 5 of The Pressure Effect, focused on pressure injury closure using cellular tissue-based products. Host Dr. Lee Ruotsi is joined by Dr. Allen Raphael, a podiatry specialist based in Smyrna, Georgia with more than 20 years of experience in wound care and limb salvage.

They walk through a compelling heel pressure injury case involving an elderly patient with multiple comorbidities,including diabetes, end-stage renal disease, and peripheral vascular disease. Dr. Raphael explains how early surgical intervention, the use of cryopreserved umbilical cord tissue, and coordinated care helped avoid amputation and lead to full wound closure.

The conversation covers surgical strategy, wound bed preparation, CTP integration, offloading techniques, and the critical role of patient and family education in long-term outcomes. A must-listen for clinicians working with medically complex or immobile patients.

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The challenges of wound care don’t look the same in every setting. Clinicians working in rural or resource-limited environments often have to think differently—especially when treating complex pressure injuries.

In this episode—part of our Season 5 series on pressure injury closure using cellular tissue products—Dr. Lee Ruotsi speaks with Dr. Vilayvanh Saysoukha, a podiatric foot and ankle surgeon and founder of Premier Foot & Ankle Centers of Tennessee. They walk through a unique case involving a dorsal foot pressure injury complicated by diabetes, vascular disease, and limited access to specialty care.

Dr. Saysoukha shares how her team managed the wound using surgical debridement, cellular tissue products, and negative pressure wound therapy, while also addressing broader care coordination challenges. The conversation highlights the value of adaptability, communication, and patient-centered planning.

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Effective management of a complex pressure injury requires more than standard wound care. It involves timely clinical intervention, surgical decision-making, and the integration of advanced therapeutic options to support optimal healing.

This episode is part of Season Five of The Pressure Effect, a series dedicated to pressure injury closure utilizing cellular and tissue-based products. In this discussion, host Dr. Lee Ruotsi is joined by Dr. Eric Yang, MD, FACS, CWS—Medical Director of the University of Chicago Medicine Advent Health Wound Care Center in La Grange. Dr. Yang presents a detailed case study involving a young paraplegic patient with a significant sacral pressure injury. He outlines his clinical approach, beginning with surgical debridement and extending through the use of negative pressure wound therapy and cellular tissue products.

The episode highlights important considerations in both inpatient and outpatient care and underscores strategies to avoid flap surgery while achieving durable closure.

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Pressure injuries caused by improperly managed dressings can lead to severe complications, especially in high-risk patients.

In this episode of The Pressure Effect, Dr. Lee Ruotsi is joined by Dr. Charles Parks, DPM, Chief of Podiatry at Zuckerberg San Francisco General Hospital. This conversation is part of our Season 5 series focused on pressure injury closure with the use of cellular and tissue-based products.

Dr. Parks shares his clinical decision-making, from debridement and wound bed prep to the use of a CTP and post-operative care strategies. They also dig into the patient’s complex medical profile, how adherence influenced outcomes, and the layered realities of wound care in a trauma hospital setting.

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