Patient Referrals

When Should A Patient Be Referred?

A patient should be referred to The Advanced Wound Care and Hyperbaric Center if he or she has:

  • A non-healing wound that is not improving after 3-4 weeks
  • Any wound involving tendon, ligament, bone, or joint
  • Any neuropathic/diabetic ulcer
  • Ischemic limb wounds
  • Any wound while immune-compromised
  • Any wound that is painful and has been present for at least three weeks

Upon referral, one of our specialists will evaluate the wound, as well as reviewing the complete medical history. We perform baseline blood tests and wound cultures on each patient. Some patients require specialized tests, such as:

  • Transcutaneous Oxygen Monitoring measures oxygen values using heated polarographic electrodes to determine if sufficient oxygen is reaching the area to be healed in the hyperbaric environment. TCOM is a strong indicator of whether or not hyperbaric treatment can be effective.
  • Ankle Brachial Index is a non-invasive procedure that can predict how severe an individual’s atherosclerosis is, demonstrate the absence or presence of Peripheral Arterial Disease, and the risk of future let problems, such as future leg rest pain, poor healing of foot wounds, the need for leg bypass surgery, or amputation.