New Hampshire American College of Surgeons 1) Admit for close observation over 24 hours, if extent is minimal. Continue IV/oral alpha blockers and use of Toradol or NSAIDS, if started 2) Maintain IV hydration, follow K+ 3) Keep part warm, with warming device 4) Elevate part to reduce swelling 5) Daily whirlpool or local soaks to keep tissue clean, dry well and redress 6) Debride loose tissue only 7) Cover with aloe vera and Silvadene, dry sterile dressings 8) Discharge when Patient is ready to assume care, see regularly over the next 6-8 weeks. Ensure pt. is supported during the defining period (tissue necrosis and survival). 9) Consider doing Technetium 99 scan for depth of permanent damage assessment. This may speed the definition of surviving tissue, and therefore reduce chance of overdebriding too early. This is a 6 week disease... according to Dr Harry McDade.