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Warning-sign checks

Eschar: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if you have confusion, fainting, breathing difficulty, rapidly worsening illness, or severe pain with fast-spreading swelling or skin discoloration.

    Emergency care is also appropriate for a deep burn around the chest, neck, arm, or leg if breathing or circulation seems restricted.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get same-day medical care if you notice:

    • Redness, warmth, or swelling spreading beyond the wound
    • New pus, foul-smelling drainage, or increasing moisture
    • Fever or chills
    • Increasing or severe pain
    • Rapid growth or darkening of the affected area
    • A cold, pale, blue, or newly numb hand or foot
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment for a new eschar, particularly if its cause is unclear.

    You should also book an appointment if the wound is not getting smaller, keeps returning, or is over a pressure point.

    Seek earlier advice if you have diabetes, reduced sensation, poor circulation, or a weakened immune system.

Every sign above is quoted from the sofidex article on Eschar. If you are not sure, err upward — it is always reasonable to be checked.