Managing bleeding for ulcers or wounds not expected to heal

Bleeding from nonhealing wounds can be managed in the short term with localised pressure, and in the longer term by stopping (if possible) any systemic drugs that promote bleeding. If the bleeding is minor, topical alginate dressings may help because they have haemostatic properties. However, alginate dressings must be removed before they dry out. Silver nitrate can be used to cauterise spot bleeding.

If bleeding is related to dressing adherence, use a nonadhesive wound contact layer.