Lesson 1Key history parts: high sugar, ulcer length, past ulcers or limb losses, body symptomsLearners will spot main history parts for suspected diabetic foot infection, like ulcer start, old wounds or limb losses, body symptoms, sugar control, and recent drugs, to judge seriousness and guide quick tests.
Characterizing ulcer onset and durationPrior ulcers, amputations, and surgeriesRecent trauma, footwear, and pressure historySystemic symptoms and sepsis red flagsMedication, antibiotic, and allergy reviewLesson 2First hospital handling in 24 hours: starting antibiotics, sample taking, unloading methods, dressing picks, sugar control teamworkLearners will plan the first day of hospital care, including starting antibiotics, right sample methods, quick unloading, dressing choices, pain relief, and working with the team on sugar management.
Risk-based empiric antibiotic selectionObtaining deep tissue and bone culturesImmediate offloading and bed rest ordersSelecting initial dressings and topical careCoordinating insulin and glycemic controlLesson 3Lab and scans: blood count, CRP, blood samples, HbA1c, simple x-rays, MRI needs and useThis part explains right lab and scan checks, including blood count, CRP, ESR, blood samples, HbA1c, simple x-rays, and when to use MRI, CT, or ultrasound to find bone infection, pus pockets, and gas in tissues.
Baseline inflammatory and sepsis labsRole of HbA1c and metabolic markersPlain radiographs and typical findingsMRI indications for osteomyelitisWhen to use CT or ultrasound imagingLesson 4How diabetic foot infection and nerve damage ulcers formThis part reviews ways nerve damage ulcers and infections happen in diabetes, linking high sugar, nerve issues, poor blood flow, and weak immunity to patterns that guide risk sorting and treatment choices.
Impact of chronic hyperglycemia on tissuesPeripheral neuropathy and loss of protectionMicrovascular and macrovascular ischemiaImmune dysfunction and infection riskBiofilm formation in chronic foot woundsLesson 5Working with sugar doctors, infection experts, blood vessel surgeons, and wound teamsLearners will learn how to work with sugar doctors, infection experts, blood vessel surgeons, and wound teams, setting roles, referral signs, and talk strategies to improve results and cut problems.
When to involve endocrinology servicesConsulting infectious disease specialistsReferral criteria for vascular surgeryWorking with wound care and podiatryStructured multidisciplinary case reviewsLesson 6Targeted foot and leg check: probe to bone, depth, side paths, nerve test (10g thread), leg pulsesThis part details a planned foot and leg check, including looking, feeling, probe to bone test, depth and side path check, nerve screen with 10g thread, and blood flow check with foot pulses.
Systematic visual inspection of the footProbe-to-bone technique and interpretationMeasuring wound depth and sinus tracts10 g monofilament neuropathy testingPalpation and grading of pedal pulsesLesson 7Leaving hospital plans: outpatient wound care, unloading tools, shoe orders, sugar follow-upLearners will plan safe leaving for diabetic foot infection patients, including outpatient wound setups, unloading tools, shoe orders, sugar follow-up, teaching on danger signs, and rules for quick return.
Assessing readiness and safety for dischargeCoordinating outpatient wound care visitsPrescribing offloading devices and footwearScheduling diabetes and glycemic follow-upPatient education on recurrence preventionLesson 8Wound sorting systems and seriousness scores (IDSA, IWGDF, Texas Uni)Learners will compare main wound sorting and score systems like IDSA, IWGDF, and Texas University, and use them to sort risks, standardise records, and guide care level and treatment strength.
IDSA infection severity categoriesIWGDF risk and infection gradingUniversity of Texas wound stagingLinking scores to treatment pathwaysUsing scores for communication and auditLesson 9Rules and times for surgery cleaning or limb removal and around-surgery needsThis part sets rules and times for surgery cleaning or limb removal, including signs, urgency, around-surgery improvements, sleep drug needs, and after-surgery limb saving and recovery plans.
Indications for urgent surgical debridementCriteria for limited versus major amputationPreoperative risk assessment and optimizationAntibiotic timing around the operationPostoperative wound and limb salvage plansLesson 10Wound care rules, germ drug saving, repeated checks and recordsThis part shows standard wound care rules, dressing picks, cleaning times, germ drug saving ideas, and ways for repeated checks, photos, and records to watch healing and guide changes.
Standardized bedside wound assessmentChoosing dressings by exudate and depthFrequency and methods of debridementAntibiotic de-escalation and durationSerial photography and EMR documentation
