‡ In these countries please contact our distributor

D - Decide

The products used in the T.I.M.E. clinical decision support tool may vary in different markets.  Not all products referred to may be approved for use or available in all markets.  Please consult your local Smith & Nephew representative for further details on products available in your market. 


…appropriate treatment

Chronic wounds are challenging, so follow a structured, evidence-based decision process to facilitate effective wound bed preparation and aim to remove barriers to healing1.

Coming soon: Our T.I.M.E. clinical decision support tool. Register here for notifications >


What is your current wound challenge?

  Tissue non-viable – is the tissue sufficiently viable to allow wound progression? Select a suitable debridement method and assess the presence of non-viable or necrotic tissue to address stalled wounds2.
  Infection and/or inflammation – through accurate wound assessment, determine bacterial burden and inflammation to restore a healthier wound bed2.
  Moisture imbalance – healing requires the correct balance of moisture. Identifying moisture levels and choosing the right dressing can help optimize the wound environment2.
  Edge of wound not advancing – the progression of contraction and epithelialisation at the wound edge is a key indicator of tissue repair2.


Once treatment has been selected and implemented: 


Next step > Evaluate and reassess the treatment and wound management outcomes. Record progression within given timelines and flag if there is no change.

If there is no improvement, repeat Assess, Bring and Control, changing treatment where indicated


Helping you get CLOSER TO ZERO human and economic cost of wounds.


A healthcare professional must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Smith & Nephew does not dispense medical advice and recommends that healthcare professionals be trained in the use of any particular product before using it on patients.



1) Leaper DJ, Schultz G, Carville K, Fletcher J, Swanson T, Drake R. Extending the T.I.M.E. concept: what have we learned in the past 10 years? Int Wound J. 2012; 9 (Suppl 2):1-19.
2) European Wound Management Association (EWMA). Position Document: Wound Bed Preparation in Practice. London: MEP Ltd, 2004.