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Walk the Talk Making 'wish-lists' into 'check-lists'

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catherine finlayson

on 26 March 2014

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Transcript of Walk the Talk Making 'wish-lists' into 'check-lists'

Walk the Talk
Making 'wish-lists' into 'check-lists'

Knowledge & Training
Given Tools & Products
Protocols & Procedures
Hands-On/Face-to-Face

SOLVE PROBLEMS
Hurdles to overcome...
availability & access to tools & products
missing tool, not in the tool kit
limitations to apply your knowledge

ADDRESS REAL NEEDS
"Genius is
1% inspiration
and
99% perspiration
"
-Thomas Edison
Sheryl Sandberg, CEO Facebook
Presented by
Catherine Finlayson, Product Relations & Education
Exciton Technologies Inc.
Catherine Finlayson, B.Ed C.C.P.E.
Product Relations & Educator
Exciton Technologies Inc.

Catherine Finlayson, B.Ed C.C.P.E.
Product Relations & Educator
Exciton Technologies Inc.

(politics, time, 'the system', '
red tape
', resources)

Advancement in Silver Technology

Method
Product
Procedure
Application
An Overview…

Silver as a Antimicrobial Agent

Silver Wound Dressings:
What do you need?


Silver dressing on the market today have different types of silver.

Different chemical properties play a very large role in how they work to manage bioburden.
Solubility
Ionic power
Reactivity






Silver Wound Dressings

SILVER Dressings are Different!

A Closer Look at Silver

A New Silver Dressing for Infection Protection & Management

Carla Spina, Ph.D.
Research Scientist
Exciton Technologies Inc.

Infected wounds may require additional interventions such as systemic antibiotics (oral or intravenous), dressing selection to support moisture balance and debridement of necrotic tissue.
The wound management team, including the patient, must have clearly identified endpoints (goals or outcomes) with rationale for all decisions related to wound care.


Additional Considerations

17

Wound Infection in Clinical Practice – An International Consensus (2008) available online at: http://www.woundsinternational.com/clinical-guidelines/wound-infection-in-clinical-practice-an-international-consensus

International Consensus - Appropriate Use of Silver Dressings in Wounds (2012) available online at: http://www.woundsinternational.com/clinical-guidelines/international-consensus-appropriate-use-of-silver-dressings-in-wounds


Consensus Documents

How is Silver Antimicrobial?


Antibiotics each only have one mode of action against bacteria
Leading to antibiotic resistance organisms

Silver has many modes of action
Minimizing the possibility of resistance

Silver Action vs Antibiotic Action

At the end of this session participants will be able to:
Distinguish the antimicrobial action of silver vs. antibiotics
Appreciate different types of silvers & their relevance to Wound Care:
Silver selection, when to use & considerations
Appreciate how a Canadian company is advancing wound care
Create opportunities to introduce a new silver product into your clinical setting




Objectives

2

I was the lead research scientist and am currently a consultant for Exciton Technologies Inc.

Exciton is committed to presenting current evidence-based information to support the reduction of bioburden in wounds through the use of a unique and innovative silver wound dressing.

Disclaimer

Ayello, E.A, et al., Appropriate Use of Silver Dressings in Wounds, International Consensus, Wounds International, 2012, 1-20

Prevent - where there is a high risk of infection in:
Contaminated wounds
Partial- or full-thickness burns
Large and/or deep wounds
Reduced healing because of patient-related factors


Restore Wound Balance - where there is increased bioburden:
local infection
local infection that is associated with a widespread (systemic) infection



Silver dressings are used to:

15

Silver Wound Dressings


Type of silver, as well as quantity of silver, vary immensely – affecting a dressing’s efficacy.

Most products offer Ag0 or Ag1+

New products offer Ag2+ & Ag3+
Fast, powerful action
Broad antimicrobial interaction & efficacy





Translating Clinical Needs

Ag2O

AgNO3

AgCl

Ag0

Silver (Ag): The Element

A precious metal, silver has historically been used in
jewellery, electronics, cosmetics, and in medicine


Berger, T.J., Spadaro, J.A., Chapin, S.E., Becker, R.O., Antimicrob. Agents. Chemother., 1976, 9(2), 357-8
Lischuk, D. Spina, C.S., Elucidating the Antimicrobial Mechanisms of Silver: Significance of Higher Oxidation States
and Reduction Potential, Chemistry Society Conference, 2012, Calgary Alberta

13

e-

Ag3+

Higher oxidation states
More “pulling” activity
Increased reactivity
Potent oxidizing action
Fast, powerful action

Advanced Antimicrobial Activity

Ag1+

e-

Ag2+

e-

1980-now

1940-70

1881

400 BCE

1000 BCE

Emergence of antibiotic resistance

Introduction of penicillin and the “golden era of antibiotics”

First publication on the use of medicinal silver

Hippocrates – healing and anti-disease

Phoenicians – Water purification

Antimicrobial Silver

Silverlon

Aquacel Ag

Mepilex Ag

Acticoat 7

exsalt SD7

Adapted from the respective product documentation/marketing materials
Spina, Carla J., Lischuk, David, Motta, Glenda, Silver Dressings 101: Silver Science

Silver Dressings


9

Ag+

Ag+

Ag+

Ag+

SH

Gram (+)

Gram (-)

IN

OUT

Mechanism of Action

Rod Precht, President & Founder

20 years leadership in silver technology and
medical device commercialization

Co-inventor and developer of Acticoat®
silver wound care product line

Incorporated Exciton in Edmonton, Alberta in 2001

Identified new silver technology facilitating
broader application of wound care products

Exciton Technologies Inc.

Exsalt® Wound Dressings

Silver Wound Dressings


Low pH
Non-adherent
Potential cost savings

Conformable dressing
Cut & Shape
Absorbent

Rapid release of silver
Ag2+ & Ag3+
Sustained release

6

Effective
Fast
Powerful
Long lasting
Versatile
Flexible
Size
Absorbency
User friendly
Safe
Comfortable
Cost efficient


Exsalt ®
Meeting Clinical Needs

Made in Alberta

Exciton Technologies Inc.
Originally a research & manufacturing company
Added sales (US) & Product Relations/Education (CA)
‘Experience & Evidence based’
Marketing & Education
2013

2013

Product Development

Initiate change
Collaborate with others
Novel marketing
Challenge practice
Proven results
Clear clinical outcomes
Brains & Brawn ($)
Supply
&
Demand
Knowledge & Training
Given Tools & Products
Protocols & Procedures
Hands-On/Face-to-Face
Address a need
Apply knowledge
Be creative
Investigate, construct, do
Promote
Perservere


Raise your hand, have a voice, share your ideas!
Note: Not meant to promote her book, just to support the 'take-home message'
WISH-LIST
CHECK-LIST
Exciton's
1% inspiration
to fulfill a NEED:
...and still sweating!
Sales
Research & Development
“No pain, comfortable”*
“No problems, no stinging”*
Help to heal
“Less expensive than the other silver dressings”*

Fast, powerful & long lasting efficacy
Flexible shape, size & absorbency
Safe, comfortable & user friendly
Tested, tried & true

The Clinician's Voice
The Patient's Voice
*Actual quoted comments from 50 patient multi-centre prospective trial, 2012
Advanced & Unique
Technology
New Product Line
New Category
Approval in Canada, US, New Zealand,
South Korea, Saudi Arabia, India
85,000 wound dressing devices distributed internationally
Formal evaluations on over 125 patients
NO adverse events, end user complaints or recalls.
99% perspiration..
Innovation &
Technical Revolution
Transparency in
Communication
...'We can get better...."
Solve Problems...
Address Needs...
The Future of Human
Health Care
Innovations & Technology Revolution

The CONSUMER in CONTROL
You
Me
Us
A local story to tell...
WISH-LIST
Full transcript