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).
We are thrilled to produce Season 3 with support and partnership from The American College of Academic Addiction Medicine (ACAAM)!
Claim CME for this episode at curbsiders.vcuhealth.org!
By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.
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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 
