Time Information
7:30 AM - 8:25 AM
Sponsored Breakfast Symposium

7:45 AM - 8:25 AM
Registration and Breakfast

8:25 AM - 8:30 AM

8:30 AM - 9:30 AM
Global Issue of Lower Extremity Wounds

What is the impact that lower extremity wounds have on health care systems and the community?  Both the actual cost of treating these wounds and the “real” cost of lower extremity wounds will be explored and discussed.  This will set the stage for the importance of this conference.
9:30 AM - 10:00 AM
Wound Care Work Up: The Basics

A thorough wound care work-up is essential to help develop a comprehensive plan of care to treat complex and/or chronic wounds. This session will outline the importance of a wound care work up and what relevant pieces of patient history and diagnostics should be gathered as part of the consultation process.
10:00 AM - 10:30 AM
AM Break and Exhibition Viewing

10:30 AM - 11:00 AM
Wound Bed Preparation: Debridement: The Art Form and the Science

This session will look at clinical and surgical wound bed preparation. Two surgeons will take you through both frequency and adequacy of the debridement of wounds. How deep is too deep? Should all wounds be debrided? Is surgical debridement the only debridement?
11:00 AM - 11:45 AM
Oh Those Swollen Legs: Edema

This session will educate the learner about lower extremity edema and focus on clinical treatment to reduce the edema. There will be a discussion on the relationship between the lymphatics and the vascular system and what role they play in chronic ulcer management. The focus will be on the treatment opportunities that need to be included in clinical management of every patient with edema.
11:45 AM - 12:25 PM
Lunch and Exhibition Viewing

12:25 PM - 12:45 PM
The Influence of Adequate Debridement on Healing of Chronic Lower Extremity Diabetic Ulcers

12:45 PM - 1:30 PM
Lymphedema - Edema with a Twist

The Lymphatic system is poorly understood especially when dealing with our wounded population. Recognizing and effectively treating edematous conditions such as chronic venous hypertension, lymphedema, and phlebolymphedema can help prevent further disease progression and wound regression.
1:30 PM - 2:00 PM
Confucius Say - All mixed up! Wounds with Mixed Etiologies

Ulcers do not always have just one etiology.  Often times, especially in lower extremity ulcers, other etiologies or comorbidities play a role in slowing ulcer healing.  We will discuss the common etiologies that affect our patients with lower extremity ulcers
2:00 PM - 2:45 PM
When Do You Call the Surgeon - Surgical Interventions

Have you ever asked yourself the question, ‘How long should I hold on to this non-healing wound?’ This session will provide guidance on when to call in your surgeon. Take a look at pedal wounds from a podiatric surgeon’s eyes. We will also look at different levels of amputation and what the intermediate and long-term effects are for patients.
2:45 PM - 3:15 PM
PM Break and Exhibition Viewing

3:15 PM - 3:45 PM
If it Quacks is it a Duck? Atypical Wounds

Sufficient high-quality evidence is limited for wounds that are considered atypical. This session will provide an overview about wounds considered atypical and modern treatments available for wound healing based on best documented options.
3:45 PM - 4:15 PM
How does Blood Flow to the Toe?

4:15 PM - 5:15 PM
Wound Healing Roundtable

The moderator will guide the multidisciplinary panel discussion about best practices to improve outcomes in a “live” unrehearsed setting. The topic will include the treatment of challenging wounds. 
Time Information
7:30 AM - 8:00 AM
Registration and Breakfast

8:00 AM - 8:30 AM
At Risk Populations

Skin serves as our protective suit of armor against environmental insult and injury. If eyes are a window of the soul, skin might be considered a window to or indicator of overall health and well-being. Age-related changes to our bodies are inevitable and most visible early and late in life. While nothing stops Father Time and Mother Nature from their steadfast march, there are simple, effective strategies and protective measures that can aid in reducing the potential for harm to fragile extremity skin as a consequence of the activities of daily life.  Participants will be able to ask questions and share their successful experience.

8:30 AM - 9:00 AM
The Four Week Marker

This session will discuss the importance of healing rates over the first 4 weeks of wound management and the predication for wound healing beyond that.  It will tie in well with other sessions discussing advanced wound modalities.
9:00 AM - 9:30 AM
Bioburden Continuum 2: Systemic Infections, Abx Stewardship

Our patients with ulcers are constantly dealing with various aspects of bioburden, infection and colonization.  With the focus on antibiotic awareness in treatment, it is very important to become more educated on the correct way to work up and treat our patients who are dealing with the bioburden issues that affect ulcer healing
9:30 AM - 10:00 AM
When the Foot Hits the Ground the Wound Changes (IDSA Guidelines)

In this exciting session Dr Najafi will provide an introduction to biomechanics, an explanation of what happens as our feet hit the ground. He will also take us into the near future, one where wearable sensors (wearables) help detect and most importantly prevent injury in our most vulnerable populations.
10:00 AM - 10:30 AM
AM Break and Exhibition Viewing

10:30 AM - 11:00 AM
Adjunctive Modalities

Clinicians may need to utilize various interventions or modalities when treating chronic wounds. Modalities such as electrical stimulations, low frequency contact and noncontact ultrasound, and high frequency ultrasound can be beneficial when selected for the right reason at the right time for the right patient.
The Patient Experience

11:00 AM - 11:30 AM
So Many Dressings, So Little Time

Choosing the proper dressing for your patient is not always easy, but it can be if you follow the ‘map’ in front of you. Let your experience – and your current wound assessment be your guide. This includes how well the previous dressing you just removed performed for the patient. The dressing will and should change as the wound heals. Wound care is like cooking: there are novices, there are chefs and there are master magicians. Knowing what to use from your ‘pantry’ can make a big difference!
11:30 AM - 12:00 PM
Physical Therapy - What's the Role?

This session will provide the learner with a historical perspective on the role of PT in the clinical management of wounds and ulcers. The learner will be provided opportunities to engage Physical therapist to be on the wound/ulcer healing team for the benefit of healing and more long-term management of the patient with ulcers.
12:00 PM - 1:00 PM
Lunch and Exhibition Viewing

1:00 PM - 1:30 PM
The Future Today: Advanced Modalities

1:30 PM - 2:00 PM

2:00 PM - 2:30 PM
PM Break and Exhibition Viewing

2:30 PM - 3:30 PM
Regulatory: Call to Action/A-Z workup

Wound care is expensive and uses a lot of healthcare resources in all care environments.  Insurance companies and CMS are constantly revising coverage determinations and these policies can make it very difficult to provide care. So much has been happening in 2019 and we will review the new payment models for home care as well as upcoming changes for the Outpatient Prospective Payment System for 2020.
3:30 PM - 4:30 PM
All Hands On Deck: The Team Approach

Healing lower extremity wounds requires multiple specialties; each of whom plays a key role. If you don’t know what you are doing, you need to refer to someone else. Using a case-based approach, a team of providers and clinicians will share their experiences and how they use their collective wisdom. This interactive session will include the attendees to gain additional perspectives on how wound care is a team sport.
Time Information
7:00 AM - 7:30 AM

7:30 AM - 8:30 AM
Breakfast - Wound Bed Preparation: Leveraging the Power of Innate Immunity and Hypochlorous Acid

Sponsored by Urgo Medical
8:30 AM - 8:40 AM
Welcome and Introductions

8:40 AM - 9:40 AM
Keynote Address: Biofilm Impacts on Human Health

Commercial Support for this event has been received from Next Science

Biofilms consist of communities of microorganisms enmeshed in an extracellular polymeric substance (EPS) matrix and are often attached to a surface. In many cases biofilms associated with the human body can be detrimental. This includes biofilms that form on medical devices and injured tissue. These biofilms are of concern because they have sophisticated survival strategies and are tolerant to antimicrobial agents and clearance by the immune system. This lecture will review similarities and differences between biofilms in various areas of human health and the mechanisms by which these communities persist.
9:40 AM - 10:00 AM
Overview of the Problem of Wound Infections

Wound infection or high bacterial load remains an issue in chronic wounds. In this introductory session, we will explore the incidence and prevalence of wound infections, the unique challenges of acute vs. chronic wounds, the financial and economic factors at play in wound care and wound infection, and the issues that impact patients and providers across wound care settings as we consider the whole patient approach to care.
10:00 AM - 10:30 AM

10:30 AM - 11:00 AM
Special Population: Injection Drug Use and VLU

11:00 AM - 11:45 AM
Identifying the Gap Between Research and Practice

Scientific research on issues of infection is advancing at a rapid pace, but that does not necessarily mean that it is reaching clinicians in their daily practice. This session will provide an overview of scientific advances in biofilm, topical antiseptic, swab cultures and planktoic bacteria, help define contamination, colonization and other critical terms, and provide an opportunity to discuss the challenges of applying these areas to clinical practice.
11:45 AM - 12:15 PM
The Antimicrobial and Anti-inflammatory Properties of Hyperbaric Oxygen Therapy

Hyperbaric Oxygen Therapy (HB0) inhibits bacterial growth and reduces inflammation. This lecture focuses on the use of HBOT for infectious disease and inflammatory conditions
12:15 PM - 1:15 PM

1:15 PM - 2:15 PM
Shifting the Paradigm

Now that we can recognize the research advances, how can we apply what has been learned to the clinical setting? This session considers the stakeholders involved in translating research to practice, how the ideology progresses through these stakeholders and how different host factors sometimes require a different approach.
2:15 PM - 2:55 PM
Surgical Site Infection and Management

Each infection is different, but there are certainly some unique challenges presented by Surgical Site Infections (SSIs). In addition to reviewing the causes and issues related to SSIs, this session will explore practical cases of osteomyelitis, the impact of bone biopsies and incision and drainage procedures.
2:55 PM - 3:15 PM
Compression, Lymphedema, and Infection: What, When, and How?

There are conditions such as lymphedema that can create inflammatory changes simulating or promoting skin infections. Understand how to recognize lymphedema and its progression in your practice as its not just on extremities with elephantiasis.   Early recognition, treatment, and management can prevent complications and improve quality of life.  Learn how appropriate compression is only part of the whole treatment when treating patients with lymphatic damage.
3:15 PM - 3:30 PM
Afternoon Break

3:30 PM - 4:30 PM
Making the Diagnosis: How Good Are We?

In this interactive session, participants will engage with the panel for a multi-disciplinary approach to examining case-based differential diagnosis, identifying gaps in assessment and discussing diagnosis and the complexity of wound infections. Participants are welcome to submit cases for this section.
4:30 PM - 5:15 PM
The Patient Experience

A patient from a local wound clinic has agreed to share his experience with a chronic wound complicated by infection. He faced the specter of amputation and lived to tell his story.
5:15 PM - 6:30 PM
Poster Reception

Poster authors present  their work
6:30 PM - 8:30 PM

Time Information
7:00 AM - 7:30 AM

7:30 AM - 8:30 AM
Breakfast Symposium - Targeting the Biofilm Structure: How Translating Biofilm Testing Influences Real-World Outcomes

Sponsored by Next Science
8:30 AM - 8:45 AM
Welcome Day Two: From Assessment Through Management and What’s Next

Yesterday we set the stage, today we challenge the evidence.
8:45 AM - 9:45 AM
What do the Guidelines tell us?

How can we best improve the multi-disciplinary approach to caring for infected wounds? In addition to practical assessment by wound type, this session will review varying host factors, the AAWC Clinical Practice Guidelines and how tools are being developed to support clinical practice.
9:45 AM - 10:15 AM
Clinical Assessment of Wounds

Assessing a chronic wound for moderate to heavy bacterial burden begins with assessment of the clinical signs and symptoms of infection. This lecture will review the clinical examination of the patient with a chronic wound.
10:15 AM - 10:45 AM

10:45 AM - 11:45 AM
Molecular Diagnostics and Biomarkers for Infection

Traditional culture techniques are fraught with errors and inaccuracy. This lecture highlights novel diagnostic methods including molecular diagnostics and bacterial protease testing.
11:45 AM - 12:45 PM
Imaging Chronic Wounds

Imaging is an important tool in the assessment, diagnosis and treatment of wound infection including osteomyelitis. For this session, speakers will explore the practical implications of radiologic imaging, explain the physics and application of fluorescent imaging, and highlight examples of both from clinical trials.
12:45 PM - 1:45 PM
MolecuLight i:X Point-of-Care Imaging for Wound Care Diagnostics - Sponsored Lunch

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1:45 PM - 2:30 PM
Topical Management

Shifting to practical management and care, this session will explore the various topical treatments and strategies proven to manage wound infections in a clinical setting, including antimicrobials and antiseptics, biofilm issues, considerations based on the setting, topical antibiotics and composite dressings.
2:30 PM - 3:15 PM
Systemic Therapy: Overall Goals

Systemic therapy provides different treatment options and benefits for patients with infected wounds, but also unique challenges as well. In considering the overall goals and opportunities for systemic therapy to manage and eradicate infection, this session will also explore challenges related to complications, superinfections and resistance.
3:15 PM - 3:30 PM
Afternoon Break

3:30 PM - 4:15 PM
Systemic Therapy: Antibiotic Stewardship

As the approaches to systemic therapy for wound infections evolve, much of the research and practical application is focusing on antibiotic stewardship, supporting the immune system, and preventing infections. This session will also explore how research on the microbiome is impacting clinical decisions regarding systemic therapies and treatments.
4:15 PM - 5:00 PM
The Role of Nutrition in Wound Healing and Infection control

Nutrition plays a crucial role in wound healing and the function of the immune system.  Malnutrition complicates the wound healing process in a variety of ways not the least of which is increasing the susceptibility to infection
5:00 PM - 5:30 PM
Multi-Disciplinary Team-Based Care: Case Discussions

Through audience engagement and panel discussion, the speakers for this session will help participants apply all they’ve learned by identifying the core partners they can employ in creating a successful multi-disciplinary wound care team. Case study scenarios will explore various clinical examples of how different medical disciplines can bring their strengths to collaborative care.
5:30 PM - 6:00 PM
New Horizons, Gaps, Needs, and Research Opportunities

Where is the future leading health care professionals in the diagnosis, management and care of wound infections? Wrap up the conference with an interactive summary of the emerging innovations, new treatments and how to bridge the gap between the research and clinical practice of wound care.
6:00 PM - 6:15 PM
AAWC Closing Comments