Care Coordination and Meetings

Biweekly Clinical Coordination: The Limb Salvage Tumor Board

Our Weekly Coordination Meeting

Our program hosts a weekly board, similar to a 'tumor board,' where core specialists meet to discuss the most complex, high-risk patients. This ensures that every challenging case receives coordinated, protocol-driven care, reducing fragmentation and improving efficiency.

  • Meeting Focus: Coordinating and expediting care for complex CLTI patients.
  • Time/Day: 1st Monday and 3rd Thursday 7:00 am - 8:00 am.
  • Location/Platform: 1st Monday's are in the conference room next to the urgent care on the second floor of the Sorenson Tower on UVH campus. 3rd Thursdays will vary and will be sent out via email to the association's members. All meetings will be a hybrid meeting and the Teams meeting link will be sent out via email before the meeting.

Core Specialties for Consultation

The facilitation of open communication is encouraged, particularly for the most challenging patients. Core attendees often include:

  • Vascular Surgeons
  • Podiatric Surgeons
  • Wound Care Specialists
  • Plastic Surgeons
  • Infectious Disease Specialists

Wound Presentation Format: A Structured Outline

To maximize the value of the meeting, please prepare your case using the following structured format, focusing on the essential elements of limb salvage:

SectionKey Information to Include
1. Patient Status & History                                 

Demographics, relevant co-morbidities (diabetes, P.A.D., renal disease), and a brief history of the current ulceration.


2. Risk Stratification

The patient's score/stage based on the WIfI Classification (Wound, Ischemia, and Infection)


3. Clinical Assessment


Vascular: Noninvasive study results (ABI/TBI, toe pressures) and revascularization plan or status. 

Infection: Culture results and proposed or current culture-specific antibiotic therapy.

Tissue Loss: Wound dimensions, condition (DIME framework), and current mechanical offloading method.


4. Requested Plan

Clearly state the specific questions for the board and outline the required next steps (e.g., surgical debridement, plastic surgery consult, social work involvement).

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