EEAST Skin Tear Management Pathway

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The Trust is rolling out Biatain Silicone dressings for all frontline clinicians to use on skin tears in aged, frail skin.

Skin tears are wounds commonly encountered by frontline EEAST clinicians. Most are seen in patients who have fallen or that have suffered other traumas resulting in the tearing of thin, fragile, aged skin.

The process of applying gauze, bandaging or adhesive strips to skin tears is no longer considered to be best practice due to the tendency of these products to dry the wound instead of promoting optimal healing. There is also the potential to cause further pain, disturbance and damage to the wound bed upon later removal of adhesive or dry dressings which have become stuck.

The Trust has examined the current evidence base and worked closely with Coloplast UK to produce the EEAST Skin Tear Management Pathway. We are introducing Biatain Silicone dressings for use on all grades of skin tear as part of this pathway. 

Biatain Silicone is an excellent and highly effective product and will be made available for use by all frontline clinicians as we look to embed consistency and excellence in the management of skin tears across the Trust. This initiative is unique with UK Ambulance Trusts and will ensure we're delivering the best possible evidence-based care to this important patient group.

Advanced Paramedics in Urgent Care across the Trust are preparing to cascade information and training on Biatain Silicone to local colleagues. Representatives from Coloplast UK will also be present at various Trust sites to assist with the roll-out over the coming weeks.

Frontline clinicians are invited to familiarise themselves with the resources below: 

Watch at short video guide on the application of Biatain Silicone.

Download this clinical update and the Skin Tears Pathway as PDF documents using the links below.

Any questions or comments can be directed to

 Published 20th February 2020

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