After our last post, a few viewers have suggested that we continue the trend of elevated compartment pressures and address a super duper rare yet potentially life saving procedure today. So, escharotomy....here-a we go!

Let's say you have a patient brought in from a fire with full thickness burns to their torso. You intubate, start hydrating per the Parkland Formula, and you (assuming you are not one) get your burn center on the horn. Your respiratory tech suddenly notes that they are having an incredibly difficult time ventilating the patient, and their peak pressures are shooting off the charts. Your trauma surgeon is not readily available, but you need to do something now.