Nationally recognized expert in wound care and pressure injuries. He is an alumnus of the National Pressure Ulcer Advisory Panel (NPUAP).| Jeffrey M Levine, MD
We often think that medical progress marches in a straight line, but that is not the case. Some ideas change the field rapidly, while others sit by the sidelines for decades before being accepted. Others are accepted by the medical profession like a fad only to fall into disrepute. Such is the case of Letchworth […]| Jeffrey M Levine, MD
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Surgeons and medics apply a plaster-of-paris body cast on an injured soldier. Photo courtesy of the New York Public Library. During WWII, the incidence of pressure ulcers in young injured soldiers increased as a result of plaster body casts and immobilization splints – an early example of medical device related pressure ulceration. Plaster-of-paris has been used […]| Jeffrey M Levine, MD
I had the opportunity to teach a session on wound care at the American College of Physicians (ACP) Annual Meeting in New Orleans. A major thrust of my career is to fill the education gap and educate physicians on this important topic.| Jeffrey M Levine, MD
A new study published in the Journal of the American Geriatrics Society sheds light on hospital acquired pressure ulcers with data on epidemiology, mortality, and patient characteristics. Its results are certain to fuel the debate on avoidability of pressure ulcers. The researchers analyzed 51,842 discharges of hospitalized Medicare patients in 2006 and 2007 for occurrence of hospital […]| Jeffrey M Levine, MD
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The term “never event” is commonly applied to pressure ulcers, giving the impression that they are always associated with medical error. As such, it lends this outcome an emotional charge that can lead to misplaced patient dissatisfaction and unnecessary accusations of wrongdoing or poor quality. Although pressure ulcers are sometimes associated with factors such as […]| Jeffrey M Levine, MD
Click here for a downloadable PDF of Charcot’s Lecture on Pressure Ulcers. . Some years back while browsing in an antiquarian book sale I came across a translated collection of lectures by the great 19th century neurophysiologist, Jean Martin Charcot (1825-1893). Inside this book I was surprised to find diagrams of pressure ulcers that […]| Jeffrey M Levine, MD
Those of us who have been in the wound care world for a while know this book as the first compendium of clinical practice guidelines for pressure ulcer prevention. Published in 1992, it was the main “go-to” resource for information on this topic for many years.| Jeffrey M Levine, MD
The 10th Edition of the Geriatrics Review Syllabus is soon going to press, and I am pleased to announce that I authored the revised Pressure Injury and Wound Care chapter.| Jeffrey M Levine, MD
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This post gives another preview of what I will be covering in my upcoming webinar entitled History of Pressure Ulcers & Wound Care: Past, Present, & Future, sponsored by the National Pressure Ulcer Advisory Panel. Some years ago while browsing in an antiquarian bookstore I opened a volume entitled Lectures on the Diseases of the Central […]| Jeffrey M Levine, MD
For this issue of Clinics in Geriatric Medicine, I invited leaders in the field to share their knowledge and expertise with the goal of educating clinicians on the basics of wound care. It is both an honor and a privilege to have the opportunity to bring together information that will improve care of vulnerable adults in an area where it is most needed. The post Wound Care for Geriatricians and Primary Care Practitioners appeared first on Jeffrey M Levine, MD.| Jeffrey M Levine, MD
When the body is malnourished, it lacks the essential nutrients necessary for these processes, which can lead to delayed or impaired wound healing. Here are some key relationships between malnutrition and wound healing...| Jeffrey M Levine, MD
It is an honor and privilege to to bring together information on care of chronic wounds and pressure injuries that will improve care of geriatric patients in an area where it is most needed.| Jeffrey M Levine, MD
This new manuscript reviews barrier functions of skin and defines specific pathophysiologic factors that lead to its disruption including hypoperfusion, hypoxia, increased vascular permeability, and edema – all of which act synergistically. The article further defines acute and chronic conditions leading to these pathophysiologic aberrations including Multiple Organ Dysfunction Syndrome (MODS), protein-calorie malnutrition, and immunocompromised states. Also addressed are critical contr...| Jeffrey M Levine, MD
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Few people are aware that wet cement is a strong alkali that can cause deep third-degree burns necessitating surgical debridement and prolonged healing time.| Jeffrey M Levine, MD
Medical doctors need to know how to assess and document all wounds including pressure injuries, prognosticate healing, address underlying comorbidities, and choose among the multiplicity of wound care treatment modalities.| Jeffrey M Levine, MD
I am delighted to announce my promotion to Clinical Professor of Geriatrics and Palliative Medicine at the Icahn School of Medicine at Mount Sinai. Teaching medical students, residents, and fellows has been a passion, and over the years I had the honor and privilege of mentoring trainees through dozens of research projects related to wound care.| Jeffrey M Levine, MD
This video presentation was delivered in March 2023 in the Winter Talk series sponsored by NYC Urban Sketchers, hosted by Mark Leibowitz. Here I discuss how I have integrated medicine with art, and art with medicine, in the course of my career as a medical doctor in Manhattan.| Jeffrey M Levine, MD
I feel honored and pleased to be able to make this contribution that will hopefully provide medical practitioners with the basics of care of pressure injuries and chronic wounds.| Jeffrey M Levine, MD
Pressure relief focuses on actively relieving pressure on specific body areas at risk of developing pressure ulcers through repositioning and offloading techniques, while pressure redistribution involves using specialized equipment and surfaces to evenly distribute pressure across the body's surface,| Jeffrey M Levine, MD
Despite the well-documented association of chronic wounds with aging, we conclude that the field of geriatrics has provided suboptimal attention to this important topic. Looking toward the future, the agenda for geriatrics must include education, research, and collaboration with other disciplines to optimize outcomes related to pressure injuries and other chronic wounds including diabetic, vascular, post-surgical, and wounds related to malignancy.| Jeffrey M Levine, MD
