Score for erythema/eschar formation: | |
---|---|
0; | No erythema |
1; | Very slight erythema (barely perceptible) |
2; | Well defined erythema |
3; | Moderate to severe erythema |
4; | Severe erythema (beet redness) to slight eschar formation (injuries in depth) |
Score for edema formation: | |
0; | No edema |
1; | Very slight edema (barely perceptible) |
2; | Slight edema (edges of area well defined by definite raising) |
3; | Moderate edema (raised approximately 1 mm) |
4; | Severe edema (raised more than 1 mm and extending beyond area of exposure) |