FRCS (Plast) Practice Questions - Intercollegiate Specialty Fellowship Examination In Plastic Surgery (FRCS Plast) Exam

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A patient sustains a circumferential full-thickness burn to the forearm. Six hours later the hand is cool, capillary refill is delayed and the radial pulse is becoming difficult to detect on Doppler. What is the most appropriate immediate management?

Elevate the limb and observe for 4 hours Take the patient to theatre for tangential excision and grafting Perform escharotomy along the mid-medial and mid-lateral lines Apply a circumferential pressure dressing

Correct Answer:

Perform escharotomy along the mid-medial and mid-lateral lines

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