| Typical
"high voltage" injury with deep burns at
foot exit. Note: the need for fasciotomy above the
burn because of compartment syndrome and current of
injury damage to muscle. The exposed muscle is clearly
dead tissue reflecting the hidden injury and need for
early transfer. Decision for fasciotomy is dependent
on symptoms of neurovascular compression or preferably
assessment of compartment pressures. |
Myoglobinuria
as seen on far right indicates 1) severe muscle damage
and 2) the need to flush out kidneys to avoid
resuscitation renal damage. Note: Clearing of urine
during increased fluid infusion, mannitol and
alkalinizing the urine (pH > 6) to avoid pigment
damage, are require. This patient needs to be
transferred.
|
