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Gateway Wound Care
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Wound-care guide · Referral sources

When wound care needs vascular, podiatry or surgical escalation

Local wound treatment may not be enough when blood flow, foot structure, deep infection, exposed tissue or a surgical complication is driving the problem.

01

Escalate circulation concerns early

02

Match foot and ankle problems to podiatry when appropriate

03

Return surgical complications to the responsible surgeon

Common escalation triggers

The wound and the patient’s condition determine urgency.

  • Cold, pale, blue or black tissue or rest pain
  • Deep infection, abscess, exposed tendon or bone
  • Foot deformity, pressure recurrence or offloading failure
  • Dehisced incision, graft failure or suspected surgical complication

Information to send

A focused referral helps the receiving specialist act faster.

  • Wound location, duration, measurements and tissue findings
  • Pain, pulses, temperature and color changes
  • Relevant imaging, vascular testing, cultures or operative notes
  • Current treatment and reason for escalation
Emergency findingsSudden loss of circulation, uncontrolled bleeding, severe systemic infection or exposed internal tissue requires emergency evaluation.

Related pages

Related care and guidance.