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and safe screening tools so

that they can competently

and confidently assess

arterial status as part of

comprehensive holistic

wound assessment. This,

in turn, will lead to

appropriate treatment

choices and better

patient outcomes.

The characteristics of

this new device meet

these requirements, while

also addressing the three

areas of quality where the

Commissioning for Quality

and Innovation (CQUIN)

framework (NHS England, 2016)

want innovation to be

seen, namely:

X

Safety

X

Effectiveness

X

Patient experience.

REFERENCES

Beldon P (2010) Performing a Doppler assess-

ment: the procedure.

Wound Essentials

5:

87–90

Guest JF, Ayoub N, McIlwraith T, et al (2015)

Health economic burden that wounds impose

on the National Health Service in the UK.

BMJ

Open

. Available online:

http://bmjopen.bmj.com/content/5/12/

e009283

NHS England (2016)

CQUIN 2017–19 Guidance

. Available online:

www.england.nhs.uk/nhs-standard-contract/cquin/cquin-17-19/

National Institute for Health and Care Excellence (2013)

Varicose

veins: diagnosis and management

. Clinical guideline 168. NICE,

London. Available online:

www.nice.org.uk/guidance/cg168

Pascarella L, Shortell CK (2015) Medical management of venous

ulcers.

Semin Vasc Surg

28(1):

21–8

Simon D (2015) How to improve the community care of patients

with leg ulcers.

J Community Nurs

29(6):

24–8

Wounds UK (2016)

Best Practice Statement for the Holistic

Management of Venous Leg Ulceration

. Wounds UK, London

BENEFITS OF MESI ABPI MD

X

ABPI and blood pressure recorded at the same time

X

Pulse wave forms also recorded to aid

ABPI interpretation

X

Can measure blood pressure in the ankles

X

Smart software prevents false results even in cases of

critical ischaemia

X

Easy to use (three simple steps), thus reducing risk of

human error, and minimal training is needed

X

Accurate and objective results seen in one minute

X

No risk of misinterpretation

X

Report print-out

X

Lightweight with long-lasting battery to ensure

maximum portability

X

Error detection system alerts the user to any

irregularities which may occur during the measuring

process, i.e. if the cuffs have not been applied properly,

or the patient has moved during the measurement.

By pressing the ‘return’ key, a message will appear

describing the problem.

CONCLUSION

Venous leg ulcers have been found to account for up

to 1% of health budgets in the West (Pascarella and

Shortell, 2015) — indeed, one in 170 adults in the UK are

indicated to have aVLU (Guest et al, 2015) and prevalence

increases with age (Simon, 2015). An ageing population

and the demands that wound care place on healthcare

professionals’time necessitates the need for fast, accurate

WOUND CARE TODAY

2017,Vol 4, No 1

55

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MESI ABPI MD:

X

Improves wound assessment so healthcare

professionals can offer compression therapy

with confidence

X

Does not require patient to rest before testing

X

Records accurate ABPI, blood pressure and heart

rate in just one simple reading.

Remember...

No risk of misinterpreting results due to the screen

displaying the ABPI reading, or simply stating

‘PAD’

in red.

ABPI screening reference scale

1.41 or more 1.40–1.00 0.99–0.91 0.90–0.51 0.50 or less

non-compressible normal

borderline abnormal

severe

Simultaneous

measurements of left and

right ABPI

ABPI result and

brachial blood

pressure in just

a minute

Details about

blood pressure

and pulse

wave form