Local treatment 3
A full thickness circumferential burn injury carries with it the
risk of compression of structures underneath the wound. In the extremities the combination of increased extravascular fluid in
the wound and underlying tissues and the lack of elasticity of
the burn wound can lead to subeschar pressures.
All extremities with circumferential full thickness burns should
be elevated to minimize edema formation and should be evaluated
hourly for signs of vascular compromise.
An escharotomy is performed by making an incision through the
eschar or the lateral surface of the extremity. An additional escharotomy may need to be performed on the medial surface as
well.
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