The Pressure Effect: A Wound Care Podcast

In this episode of The Pressure Effect , Dr. Lee Ruotsi talks with Scott Filgo about how health systems can standardize prophylactic dressings. Scott shares his experience leading wound care programs across multiple hospitals. He explains why standardization matters, especially when different teams are using different products. Having one approach helps reduce confusion, improve consistency, and s...

In this episode, host Dr. Lee Ruotsi is joined by Stephanie Constable, BSN, RN, CWOCN, a wound care specialist and chair of the Pressure Injury Prevention Committee at United Hospital Center. Stephanie shares her real-world experience developing and implementing a pressure injury prevention bundle within her facility. She walks through the essential components of an effective bundle, the importanc...

Prophylactic dressings are becoming an important part of pressure injury prevention strategies in clinical care. In this episode of The Pressure Effect from Smith+Nephew, host Dr. Lee Ruotsi is joined by Alicia Smith, PT, DPT, NCS, CWS, CLSSGB, Director of Wound Care at Grady Health System, to discuss the clinical impact of these dressings and how they are used in real-world settings. Alicia share...

In this episode, Dr. Lee Ruotsi speaks with Dr. Amit Gefen, Professor of Biomedical Engineering at Tel Aviv University and a leading expert in tissue mechanobiology, about how prophylactic dressings help prevent pressure injuries. Dr. Gefen explains how pressure, shear, and friction act on soft tissue, and why these forces work together to cause damage beneath the skin. He also describes what happ...

Pressure injuries caused by medical devices are more common than many realize, especially in the ICU. In this episode, Dr. Lee Ruotsi is joined by Dr. Kelly McFee, DNP, a seasoned wound care expert and past Chair of the Board of Directors at the American College of Clinical Wound Specialists, to talk about what causes these injuries, where they show up, and how to prevent them. Dr. McFee shares wh...

Preventing pressure injuries in children isn’t just about scaling down adult care plans. In this episode, Dr. Lee Ruotsi is joined by Meredith Sharp, a certified wound ostomy nurse with years of experience in pediatric trauma and outpatient family medicine. They dig into why pediatric patients face unique challenges in pressure injury prevention and what caregivers can do differently. Meredith tal...

Pressure injury prevention in rural and underserved populations presents distinct challenges, including limited access to care, provider shortages, and gaps in insurance coverage. In this episode, Dr. Lee Ruotsi speaks with Dr. Bernadette Walters, Doctor of Nursing Practice and certified wound, ostomy, and continence nurse, about the unique barriers facing patients in rural settings. Drawing from...

Pressure injuries are a major concern across all care settings but in long-term care (LTC) facilities, prevention can get especially complicated. Limited staff, evolving patient acuity, and regulatory hurdles all play a role. In this episode, Dr. Lee Ruotsi is joined by Cathy Milne, an advanced practice wound, ostomy, and continence nurse with over 35 years of experience across acute care, LTC, ho...

This episode is part of Season 5 of The Pressure Effect , focused on pressure injury closure using cellular tissue-based products. Host Dr. Lee Ruotsi is joined by Dr. Allen Raphael, a podiatry specialist based in Smyrna, Georgia with more than 20 years of experience in wound care and limb salvage. They walk through a compelling heel pressure injury case involving an elderly patient with multiple...

The challenges of wound care don’t look the same in every setting. Clinicians working in rural or resource-limited environments often have to think differently—especially when treating complex pressure injuries. In this episode—part of our Season 5 series on pressure injury closure using cellular tissue products—Dr. Lee Ruotsi speaks with Dr. Vilayvanh Saysoukha, a podiatric foot and ankle surgeon...

Effective management of a complex pressure injury requires more than standard wound care. It involves timely clinical intervention, surgical decision-making, and the integration of advanced therapeutic options to support optimal healing. This episode is part of Season Five of The Pressure Effect , a series dedicated to pressure injury closure utilizing cellular and tissue-based products. In this d...

Pressure injuries caused by improperly managed dressings can lead to severe complications, especially in high-risk patients.  In this episode of The Pressure Effect , Dr. Lee Ruotsi is joined by Dr. Charles Parks, DPM, Chief of Podiatry at Zuckerberg San Francisco General Hospital. This conversation is part of our Season 5 series focused on pressure injury closure with the use of cellular and tiss...

In this episode of The Pressure Effect , Dr. Lee Ruotsi is joined by Dr. Bernadette Walters, a clinical nurse specialist and wound care expert, as they discuss strategies for assessing and treating pressure injuries. Dr. Walters shares her journey from trauma nurse to wound care specialist, offering valuable insights into her role in rural healthcare and wound care management. Together, they explo...

Welcome to The Pressure Effect from Smith+Nephew, a podcast dedicated to advancing knowledge in wound care and pressure injury prevention. In this episode, host Dr. Lee Ruotsi welcomes Dot Weir, RN, CWOCN, CWS, a seasoned wound care expert with over 40 years of experience, to explore the critical topic of infection management in pressure injuries. Dot shares her insights on identifying the early s...

Welcome to T he Pressure Effect from Smith+Nephew, the podcast dedicated to exploring innovative solutions for wound care and pressure injury prevention. In this episode, host Dr. Lee Ruotsi is joined by Dr. Richard Franklin, Medical Director at MVS Wound Care and Hyperbarics in Maryland, to delve into the complexities of debridement in treating pressure injuries.  Dr. Franklin shares his journey...

Advanced Practice Nurse and Wound Care Specialist at Jersey Shore University Medical Center, Susan Hermida joins Dr. Lee Ruotsi on this episode of The Pressure Effect , brought to you by Smith+Nephew.  Together, they dive into the complexities of pressure injury treatment, focusing on the benefits of negative pressure wound therapy.  Susan shares real-world insights, tips for handling challenging...

Wound Care Nurse Consultant, Sue Creehan, MSN, RN, CWON, joins Dr. Lee Ruotsi on this episode of The Pressure Effect , brought to you by Smith+Nephew.  Together they dive into the complexities of reducing hospital-acquired pressure injuries, the financial burden they pose on healthcare institutions, and the importance of implementing comprehensive prevention programs. Sue also shares her experienc...

Tracey L. Yap, RN, PhD, professor in the Duke University School of Nursing, and a Senior Fellow in the Duke University Center for the Study of Aging and Human Development, joins Dr. Lee Ruotsi.  Together, they discuss the cost of implementing a pressure injury prevention program and how to justify that cost to your organization’s CFO.  Plus, Tracey shares her background in healthcare, experience w...

Executive Advisor for Nursing at the Mayo Clinic in Jacksonville, Florida, Robin Gasparini, DNP, joins Dr. Lee Ruotsi to discuss how to approach change management in healthcare with the best chance for success, and how that ties into pressure injury prevention. Plus, Robin shares her experience implementing new tools and processes, the challenges faced, and key takeaways for achieving successful c...

Skin Integrity Nurse Coordinator at Nassau Healthcare, Lilibeth Acero, RN, joins Dr. Lee Ruotsi to discuss Pressure Injury Prevention in the Operating Room.  Together, they explore a safety net hospital’s quality improvement journey.  Plus, they evaluate who should be educating OR staff on PIP, and some of the challenges with implementation that teams should expect.  So press play on this insightf...

Distinguished Medical Technologist at Smith+Nephew, Dr. Barrett Larson joins Dr. Lee Ruotsi to discuss the economic impact of pressure injuries.  Together, they explore a 2020 study to identify the key factors impacting the cost of pressure injuries.  Plus, they evaluate the correlations between pressure injuries and hospital readmissions and hospital-acquired conditions, and so much more.  So pre...

Welcome back to the exciting new season of “The Pressure Effect,” brought to you by Smith+Nephew.  Join Dr. Lee Ruotsi, the Medical Director at The Saratoga Hospital Center for Wound Healing and Hyperbaric Medicine in Saratoga Springs, New York as he focuses on improving the quality of pressure injury prevention.  In each episode he’ll be joined by leading medical experts to discuss topics like th...

After many insightful conversations with experts in the world of pressure injury prevention, host Dr. David Zabel shares the exciting news that Season 3 of The Pressure Effect will be coming soon! Make sure you’re subscribed so you don’t miss a new episode, and if you have enjoyed the show, don’t forget to let us know by leaving a rating or review. We hope you will join us again in Season 3 of The...

Medical devices like feeding tubes, catheters, or oxygen delivery devices are often critical to the health of hospitalized patients. Despite their important benefits, the use of these devices can unfortunately also have negative effects: medical device-related pressure injuries, or MDRPIs. On this episode of The Pressure Effect, Host Dr. David Zabel talks to Chairman of the Board of Directors at t...

Welcome to “The Pressure Effect,” from Smith+Nephew. In this episode, Dr. David Zabel is joined Dr. Lee Ruotsi, Medical Director at the Saratoga Hospital Center For Wound Healing And Hyperbaric Medicine In Saratoga Springs, NY to discuss how if you want to stop a patient from developing a hospital acquired pressure injury, it’s best to start preventative measures as early as possible. In their con...