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Crush injury

A case of a female patient who got her hand trapped in between tow heavy duty/ high pressure rollers which were also heated. The result was a crushed hand with third degree burns of the fingers and palm. Every time a mangled tissue gets exposed to heat/burned, the chances of survival drop dramatically, this is due to poor tissue blood supply. The palm of the hand comprises only one percent of the body surface area. Despite this, a burn of the hand can represent a serious short- or long-term disability. Edema formation in burned hands hinders motion and may be a factor in later contracture formation. The hands must be elevated above the level of the heart to prevent edema formation. Changes in or loss of pulse indicate the need for escharotomy if hand or arm burns are circumferential. Credit: @reconst.surg.col