Technological Transformation Of Emergency Care: Implications For Nursing And Paramedic Practice
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Ahmed Murished Almutiri, Faris Nawash AlEnezi, Abdullah Muqbil AlHarbi, Saad Jamman AlSuwailem, Fatimah Mohammed AlBahrani, Hawraa Hasan Al Saleem, Roqayah Marzooq Qassem AlMarzooq, Wijdan Zaki Al Mishqab
Huda Salman Khubrani, Khadijah Salman Khobrani, Seham Ahmed Abdullah Al-Zarqawi, Ghadeer Mohammad Aziz AlShomrani, Fozyah Mahdi Ahmed Al Zayer, Ali Muidh Ali AlHarbi, Malak Ali Salem Kadwah
Abstract
Traditionally, nursing and paramedic practice has been grounded in direct patient contact, experiential judgment, and rapid clinical assessment. Nurses relied heavily on bedside observation, handwritten documentation, and interpersonal communication, while paramedics depended on situational awareness, protocol-driven decision-making, and verbal handovers in dynamic prehospital environments. Although these approaches fostered strong therapeutic relationships and adaptability, they were often limited by fragmented documentation, delayed information exchange, and variability in care delivery. As healthcare systems expanded and emergency demands intensified, both professions faced growing pressure to deliver accurate, timely, and coordinated care. These challenges created the impetus for technological integration, initiating a transformative shift in how care is delivered across hospital and prehospital settings .
Keywords :
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Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty