injuries poisoning
How To Do Burn Escharotomy
Indications for Burn Escharotomy
Eschar compressing or potentially compressing tissue in or surrounding burn area Compressed tissue is identified by any of the following: Absent distal arterial flow as determined with a Doppler ultrasonic flow meter in the absence of systemic hypotension An oxygen saturation below 95% in the distal end of the extremity as shown by pulse oximetry in the absence of systemic hypoxia Measurement of compartment pressure > 30 mm Hg Impending or established respiratory compromise due to circumferential torso or neck burns Physicians should have a high index of suspicion and a low threshold for doing escharotomy. 