Clinical resource hub
Wound Care Antimicrobial Optimisation Hub
Clinical insights, education and decision support resources for West and North London teams, supporting antimicrobial stewardship and appropriate dressing selection.
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Clinical context: challenges in wound progression
Wound outcomes can vary with antimicrobial choice, wound type and patient factors. Some wounds may stall despite antimicrobial dressings, including silver-based products. Reassessment of the wound environment and treatment strategy may be appropriate.
When to review a wound pathway
- If healing has not progressed within approximately two weeks
- If repeated dressing changes are required without improvement
- If the wound shows limited response to the current antimicrobial strategy
Follow current instructions for use, local protocols and clinical judgement. Seek appropriate assessment when a wound deteriorates.
Dressing frequency
Stalled wounds may require more frequent dressing changes.
Review appointments
Non-healing wounds can increase the need for repeat clinical reviews.
Clinical workload
Delayed healing can contribute to a sustained service and time burden.
Clinical insights from West & North London practice
The four clinical insight videos featured on the original resource hub.
Why Silver Dressings May Fail in Chronic Wounds | Clinical Insights
Watch on YouTube (opens in a new tab)Alternative Approaches in Wound Care | Thinking Beyond Silver Dressings
Watch on YouTube (opens in a new tab)Managing Non-Healing (Plateaued) Wounds in Clinical Practice
Watch on YouTube (opens in a new tab)Local resources
MEDCu in West & North London
Information for your local pathway
MEDCu is a copper-impregnated wound dressing. Use the local resources below alongside current product instructions and your organisation’s formulary and protocols. Confirm current local availability before ordering.
Explore MEDCuApplication guidance
MEDCu wound dressing protocol
Watch the original training playlist or select one of the eight individual application clips below. Always follow the current instructions for use and local clinical protocols.
MEDCu wound dressing protocol — training playlist
Watch on YouTube (opens in a new tab)Step 1 — Preparation
Hand hygiene, PPE, patient identification and holistic assessment before wound contact.
Open video (opens in a new tab)Step 2 — Wound cleansing
Gentle cleansing using an appropriate solution to prepare the wound bed for assessment.
Open video (opens in a new tab)Step 3 — Wound assessment
Assessment of wound size, tissue type, exudate and surrounding skin.
Open video (opens in a new tab)Step 4 — Dressing selection
Consider wound characteristics and the appropriate dressing options.
Open video (opens in a new tab)Step 5 — Applying MEDCu copper dressing
Correct sizing, placement and contact with the wound bed and surrounding skin.
Open video (opens in a new tab)Step 6 — Removal of dressing
Safe removal techniques, using saline if required to minimise trauma and discomfort.
Open video (opens in a new tab)Step 7 — Patient education
Dressing care, hygiene and recognising infection or deterioration.
Open video (opens in a new tab)Step 8 — Documentation and escalation
Recording wound status, dressing choice and escalation where required.
Open video (opens in a new tab)Clinical outcomes in practice
Agnes Collarte: MEDCu copper dressings in practice
Real-world case studies from a tissue viability nurse specialist, as featured on the original London resource hub.
MEDCu Copper Dressings in Practice: Real-World Case Studies from a Tissue Viability Nurse Specialist
Watch on YouTube (opens in a new tab)Clinical evidence
Clinical evidence and research
The nine original papers and reports linked from this resource hub. Read each document for its study design, findings and limitations.
Continuum of care with MEDCu
Read paper (PDF) (opens in a new tab)Melamed et al. — Medicina (2021)
Read paper (PDF) (opens in a new tab)MEDCu and biofilm
Read paper (PDF) (opens in a new tab)Healing hard-to-heal wounds and improving quality of life
Read paper (PDF) (opens in a new tab)Silver and copper dressings
Read paper (PDF) (opens in a new tab)MEDCu and Cutimed Sorbact — antimicrobial efficacy report
Read paper (PDF) (opens in a new tab)Copper dressings and NPWT — non-inferiority trial
Read paper (PDF) (opens in a new tab)Copper-impregnated dressings for caesarean section
Read paper (PDF) (opens in a new tab)Copper dressings and venous ulcers
Read paper (PDF) (opens in a new tab)Practical clinical tools
West & North London clinical resources
Print or save the four original local guides for use alongside your current clinical pathway.
When to consider MEDCu
Open / save PDF (opens in a new tab)Hidden factors behind non-healing wounds — iceberg guide
Open / save PDF (opens in a new tab)MEDCu ordering codes
Open / save PDF (opens in a new tab)MEDCu clinical decision support
Open / save PDF (opens in a new tab)MEDCu copper training
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