Consulting & Education
Dr. Levine is part of the teaching program for geriatric fellows in the Brookdale Department of Geriatrics and Palliative Care at the Icahn School of Medicine at Mount Sinai. He authored the Pressure Injuries and Wound Care chapter in the Geriatrics Review Syllabus (GRS9, GRS10 and the upcoming GRS11) for the American Geriatrics Society, and was a contributing author for the American Medical Directors Association’s Clinical Practice Guideline for Pressure Ulcers.
Dr. Levine is an alumnus of the National Pressure Injury Advisory Panel (NPIAP), an organization that serves as the authoritative voice for improved patient outcomes in pressure ulcer prevention and treatment through public policy, education, and research.
Among his many consulting appointments, he participated in the New York State Gold STAMP Advisory Committee to assist in developing and implementing cross-setting collaboratives with hospitals, nursing homes, and home care agencies to reduce the incidence and prevalence of pressure ulcers, and assisted the Centers for Medicare and Medicaid Services (CMS) in the roll-out of revised Section M-Skin Condition of MDS 3.0.
ARCHIVED WEBINARS:
Wound Care: Maximizing Quality While Controlling Cost
When Cure is Not the Goal: Palliative Care for Chronic Wounds
Infectious Aspect of Chronic Wounds, including Infection Control
Unavoidable Pressure Injuries, Terminal Ulceration & Skin Failure: Where were we, where are we and where are we going?
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A Review of the Skin Failure Concept
Nov 19, 2021
This new manuscript reviews barrier functions of skin and defines specific pathophysiologic factors that lead to its disruption including hypoperfusion, hypoxia, increased vascular permeability, and edema – all of which act synergistically. The article further defines acute and chronic conditions leading to these pathophysiologic aberrations including Multiple Organ Dysfunction Syndrome (MODS), protein-calorie malnutrition, and immunocompromised states. Also addressed are critical contributing factors such as age-related skin changes, frailty, sarcopenia, cytoskeletal and external forces, pharmacologic contributors, and the dying process.
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Medical Device Related Pressure Injury to the Ear due to Mask
Aug 2, 2021
The ear is a convenient anchor for a mask, which renders it subject to constant pressure and friction from the elastic band. Diagnosis of injuries in the postauricular area may be missed or delayed because it is hidden behind the ear and/or covered with hair. Pressure injury to the ear can result in pain, infection, scarring, or permanent deformity.
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Wound Odor: The View from Ancient Greece
May 10, 2021
The fascinating history of wound care dates back to the earliest human cultures, where prehistoric bones and cave paintings left hints of wound-healing knowledge. A major problem associated with wounds is odor, a phenomenon recognized for millennia. In today’s... read more -
Speaking of Aging Skin at NPIAP
Feb 28, 2021
I am pleased to announce that I will be speaking at the upcoming National Pressure Injury Advisory Panel Annual Conference on the topic of aging skin. The NPIAP’s core mission is to provide interprofessional leadership to improve patient outcomes in pressure injury prevention and management through education, public policy, and research.
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Is There a COVID-Related Wound?
Sep 21, 2020
This blog post explores whether there is a link between COVID and wounds. Understanding of this disease is still in the early stages, and it is unclear whether these skin lesions are the result of comorbidities or coinfection with other agents, or whether COVID-19 is actually responsible. The following skin lesions have been described with COVID-19 infection:
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Suspension Therapy for Pressure Injuries: A Rediscovered Footnote to Nazi Medicine
Sep 14, 2020
Shortly after German surrender in WWII, a medical officer from occupying British forces inspected a military hospital in Germany and described a treatment for pressure injuries developed by Nazi doctors. The treatment, based on suspension of the patient by wires drilled into pelvic bones, has been lost to history until now.
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History of Pressure Injury Treatment at the New York Academy of Medicine
Mar 14, 2020
I was recently honored to present at the New York Academy of Medicine’s 11th Annual History of Medicine Night, along with five other distinguished lecturers. My topic was entitled Bed-Sore Treatment by Suspension: A Case Report from WWII. While perusing old journals... read more -
Skin Failure, Unavoidable Pressure Injuries, and Terminal Ulceration at NPIAP
Mar 1, 2020
I recently presented on the topic of skin failure at the National Pressure Injury Advisory Panel (NPIAP) annual meeting in Houston on February 27th and 28th, sharing the podium with Janet Cuddigan PhD, RN, FAAN, President of NPIAP. The goal of our session was to... read more -
Skin Failure at WoundCon 2020
Feb 25, 2020
This past winter I presented on SKIN FAILURE at WoundCon, the first of its kind ONLINE Virtual Wound Care Conference and Expo. Brought to you by the publishers of WoundSource®, this full-day virtual conference on Thursday, April 2, 2020 included a series of CME/CE... read more -
New Review on Aging Skin, with Considerations for Clinicians
Jan 5, 2020
My review article entitled Clinical Aspects of Aging Skin is now online in the January edition of Advances in Skin & Wound Care, and is available on line at this link. This article is filled with practical information for the wound care practitioner, but does... read more -
Pressure Injuries Expanded by CMS as Indicators of Hospital Harm
Sep 28, 2019
CMS has implemented a new quality measure for hospitals that expands the array of pressure injuries considered as adversely impacting quality care. The new measure, developed in a program to provide electronic clinical quality measures (eCQMs), widens the scope of... read more -
Terminal Ulcer Terminology Reconsidered
Sep 3, 2019
My new article in Wound Management & Prevention is a critical re-examination of terminal ulcer terminology. In it I make the case for recognizing terminal ulcers as part of the spectrum of skin failure (and not necessarily heralding death) and used only in... read more -
Geriatric Medicine Recertification Completed
Jun 5, 2019
I am happy to announce that I passed the test. I am referring to the geriatrics examination given by the American Board of Internal Medicine (ABIM). This means that I am recertified as a Board Certified Specialist in Geriatric Medicine. Recertification is required... read more -
Art, Dementia, and Elder Abuse: The Sad Story of Peter Max
Jun 3, 2019
Back in high school I was a big fan of Peter Max. His work was everywhere – on the cover of Life Magazine, on album covers for The Beatles, and on psychedelic day-glow posters at the head shop on Journal Square in Jersey City, the town where I grew up. I remember... read more -
Wound Care Research at the American Geriatrics Society Annual Meeting
May 9, 2019
I just returned from the American Geriatrics Society Annual Meeting in Portland, Oregon, where parts of my wound care research were presented as a poster. My co-author was geriatrician-in-training Dr. Rikitha Menezes, who participated in data collection. Rikitha came... read more -
Wound Care Boot Camp at the AMDA/PALTC Annual Meeting
Mar 10, 2019
Many times I’ve been asked to provide a lecture on wound care with an allotted time of 45 minutes to one hour. The reality is that wound care is so complex that one hour will provide only a superficial overview which may not serve many front-line clinicians. This... read more -
Is the Pressure Injury Staging System Obsolete?
Feb 5, 2019
When I began researching my article in the March 2019 issue of Advances in Skin and Wound Care entitled Historical Perspective on Pressure Injury Classification: The Legacy of J. Darrel Shea, I did not intend to critique the staging system. I simply wanted insight... read more -
Cigarette Packaging in Italy
Feb 3, 2019
On a recent trip to Italy I was amazed when I saw these pictures on packs of cigarettes. If this isn’t enough to scare a smoker away from these nicotine delivery devices, I don’t know what will. For the benefit of my readers I am reproducing what I think is... read more -
Serge Voronoff and the History of Wound Care at the New York Academy of Medicine
Jan 10, 2019
Join me at the New York Academy of Medicine for the Tenth Annual History of Medicine and Public Health Night on Wednesday evening, January 30th, when I present my paper entitled Organotherapy, Gilded Manhattan, and Wound Healing Research in the Early 20th Century.... read more -
Wound Care Webinar Sponsored by The Society for Post-Acute and Long-Term Care Medicine
Sep 29, 2018
On Wednesday, October 24th I had the honor of delivering a webinar entitled Wound Care: Maximizing Quality While Controlling Costs, sponsored by The Society for Post-Acute and Long-Term Care Medicine. The webinar will begin at 7:00 EST and last 1.5 hours. I will be... read more -
Wound Care in the Geriatrics Review Syllabus
Sep 24, 2018
The 10th Edition of the Geriatrics Review Syllabus is soon going to press, and I am pleased to announce that I authored the revised Pressure Injury and Wound Care chapter. This chapter covers much of the material I wrote in the 9th Edition, but has critical updates... read more -
Pressure Injuries and the Human Warranty
Sep 16, 2018
In this post I will discuss two recent articles that together make the case that pressure injuries might be a manifestation of a human biological warranty. The first is Unavoidable Pressure Injury: State of the Science and Consensus Outcomes, published in the Journal... read more -
Prime Time Television, Disease, and Death
Jun 23, 2018
I recently experienced the phenomenon of cognitive dissonance during a commercial on the evening world news. It was an advertisement promoting a diabetes medicine that showed people with diabetes at a barbecue, cooking and dancing. How different this was from my day... read more -
Upcoming Talks at SAWC
Jan 25, 2018
I am thrilled to announce that I will be presenting in two sessions at the upcoming Symposium on Advanced Wound Care (SAWC) which is going on from April 25 to 29, 2018 in Charlotte, North Carolina. SAWC is a leading educational forum for interdisciplinary wound care... read more -
Webinar on Unavoidable Pressure Injuries, Terminal Ulceration, and Skin Failure
Nov 3, 2017
Please join me Thursday, November 16 from 3:00-4:00pm EDT for a free webinar presented by myself and Elizabeth A. Ayello, PhD, RN, sponsored by the National Pressure Ulcer Advisory Panel (NPUAP), entitled Unavoidable Pressure Injuries, Terminal Ulceration, and Skin... read more