Expand your practice to include wound care for xylazine-related wounds and learn how to talk to your patients about harm reduction for xylazine. We are joined by Dr. Raagini Jawa (@Raaginizzle, UPMC) and Tehya Johnson, NP (@TehyaRJohnson, Boston Health Care for the Homeless).
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Credits
Show notes, infographics, cover art, writer and producer: Zina Huxley-Reicher, MD Hosts: Carolyn Chan, MD. MHS, Zina Huxley-Reicher, MD and Shawn Cohen, MD Reviewer: Payel Jhoom Roy, MD, MScShowrunner: Carolyn Chan, MD, MHSTechnical Production: PodPasteGuests: Raagini Jawa, MD MPH and Tehya Johnson, NP
Show Segments
Intro, disclaimer, guest bios - 01:42 Guest one-liners - 03:22Case from Kashlak - 7:56Definition of xylazine, overview of xylazine in the drug supply and experience of use - 08:38Xylazine test strips and other harm reduction strategies - 15:48Natural history of xylazine wounds - 19:15Creating a welcoming wound care environment - 21:05Red flag symptoms indicating need for oral antibiotics and higher levels of care - 26:18Steps for wound care - 33:27Frequency of wound care - 46:16Pain control in the setting of dressing changes - 51:01Route switching, harm reduction around injecting at the site of the wound - 52:20When to refer to other wound care specialists/plastic surgery - 55:00Take home points - 57:05Outro - 1:00:17 
