- Eschar
From the Greek word "eschara" (scab) an eschar (IPAEng|ˈɛskɑr) is a piece of dead tissue that is cast off from the surface of the skin, particularly after a burn injury, but also seen in
gangrene ,ulcer , fungal infections, necrotizing spider bite wounds, and late exposure toanthrax . Eschar is sometimes called a "black wound" because the wound is covered with thick, dry, black necrotic tissue.Eschar may be allowed to slough off naturally, or it may require surgical removal (
debridement ) to prevent infection, especially in immunocompromised patients (e.g. if askin graft is to be conducted).If eschar is on a limb, it is important to assess peripheral pulses of the affected limb to make sure blood and lymphatic circulation is not compromised. If circulation is compromised, an
escharotomy , or surgical incision through the eschar, may be indicated.An escharotic is a substance that causes tissue to die and slough off. Examples include acids, alkalines, carbon dioxide, metallic salts, or electric cautery.
External links
* http://www.medbc.com/annals/review/vol_3/num_2/text/vol3n2p79.htm
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