Our team—clinicians, interns, residents, nurses—has developed an effective series outlining the fundamental steps of managing challenging wounds. This introduction gives a basic overview, while subsequent articles will detail specific wound management techniques.

Challenging wounds can be frustrating or fulfilling, depending on patient status, response to treatment, and owner finances. In reality, problematic wounds are labor-, time-, and cash-intensive (Figure 1, above), with no guarantee of a positive outcome. Adding to this is the wealth of available wound medications and treatment regimens.

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