PFC Surgical Procedures

Surgical procedures within PFC scope: finger thoracostomy, chest tube insertion, escharotomy for burns, fasciotomy for compartment syndrome, lateral canthotomy for orbital compartment syndrome, and wound debridement.

• Finger thoracostomy: 4th/5th ICS AAL, blunt dissection, confirmation, preferred over needle in intubated patients
• Tube thoracostomy: 28-32Fr for hemothorax, Heimlich valve, securing and monitoring
• Escharotomy: circumferential burn indications, medial/lateral extremity incisions, chest incision pattern
• Fasciotomy: 5 Ps of compartment syndrome, lower leg/forearm/thigh technique, telemedicine before proceeding
• Lateral canthotomy: orbital compartment syndrome, 90-120 minute window, lateral canthus technique
• Wound debridement and delayed primary closure: devitalized tissue identification, DPC at 3-5 days

finger thoracostomy, chest tube insertion, escharotomy burns, fasciotomy compartment syndrome, lateral canthotomy, wound debridement PFC