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eschars

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  • and eschars separate they leave wet granulations underneath them which you must graft Maggots also deslough most effectively although few people have the courage to use them deliberately Figure 58 12 A incisions for the hand B those for the rest of the body C an emergency escharotomy for a burn of the chest D an emergency escharotomy for the thigh D was kindly
  • shower so many bacteria into a patient s circulation that it causes septic shock 53 4 So if a burn is severely infected deslough it under antibiotic cover Usually this is not necessary Figure 58 13 DESLOUGHING A BURNT FOOT This is the foot of a charming old grandmother who fell into a fire dead drunk Her tendons and part of her metatarsals have sloughed Pieces of her
  • leave these sloughs and eschars open to the air but the best way to treat them is to cover them with saline soaks Dry or moist the dead tissue will have to be removed and the burn grafted Figure 58 10 TWO METHODS COMPARED In the closed method note 1 the thickness of the dressing and 2 that the patient s toes are exposed so that their circulation can be monitored In
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  • Figure 5 Left leg and foot after debridement of eschars CLST

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  • Definition of eschar