03/03/2026
Would you debride this stable heel eschar?
Black tissue does not automatically mean “remove it”.
If the eschar is dry, firm and intact — with no erythema, fluctuance or drainage — it may be acting as the body’s natural biological cover.
The key question is not colour.
The key question is perfusion.
Debriding poorly perfused tissue can expose underlying structures and increase infection risk.
Clinical reasoning always comes before routine habit.
Save this for your next pressure injury assessment.
What clinical findings would make you change your decision? 👇
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