{"id":5970,"date":"2025-09-15T13:42:15","date_gmt":"2025-09-15T11:42:15","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=5970"},"modified":"2025-12-02T09:07:25","modified_gmt":"2025-12-02T08:07:25","slug":"escarres-materiel","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=5970","title":{"rendered":"Escarres"},"content":{"rendered":"\n<h2 id=\"definition\" class=\"wp-block-heading\">D\u00e9finition<\/h2>\n\n\n\n<p>L\u00e9sion cutan\u00e9e d&rsquo;origine isch\u00e9mique li\u00e9e \u00e0 une compression des tissus mous entre un plan dur et une saillie osseuse<\/p>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L&rsquo;atteinte neurologique entra\u00eene une perte de mobilit\u00e9 et de sensibilit\u00e9<\/li>\n\n\n\n<li>30% des patients bless\u00e9s m\u00e9dullaire en phase aigu\u00eb<\/li>\n\n\n\n<li>>85% en pr\u00e9senteront dans leur vie<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 id=\"les-stades\" class=\"wp-block-heading\">Les stades<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>L&rsquo;escarre peut se former en moins de 3 heures et est d\u00e9crite en 4 stades<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"436\" height=\"120\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/Escarre.avif\" alt=\"\" class=\"wp-image-6966\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/Escarre.avif 436w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/Escarre-300x83.avif 300w\" sizes=\"auto, (max-width: 436px) 100vw, 436px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stade 1 : rougeur qui ne part pas \u00e0 la pression. Modification de la temp\u00e9rature, de la consistance du tissus, de la sensibilit\u00e9<\/li>\n\n\n\n<li>Stade 2 : phlyct\u00e8ne ou d\u00e9s\u00e9pidermisation. Perte de l&rsquo;\u00e9piderme au derme, possible \u00e9coulement (sanglant, purulent, s\u00e9reux), fibrine<\/li>\n\n\n\n<li>Stade 3 : n\u00e9crose (mort et d\u00e9composition des tissus). Perte de toute l&rsquo;\u00e9paisseur de la peau, n\u00e9crose des tissus sous-cutan\u00e9e jusqu&rsquo;au fascia, possible \u00e9coulement, fibrine<\/li>\n\n\n\n<li>Stade 4 : n\u00e9crose ouverte allant jusqu&rsquo;\u00e0 l&rsquo;os. Perte de toute l&rsquo;\u00e9paisseur de la peau, atteinte des tissus jusqu&rsquo;\u00e0 l&rsquo;os, d\u00e9collement de la plaque noire, possible \u00e9coulement, fibrine<\/li>\n\n\n\n<li>Stade 5 : plusieurs escarres<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 id=\"zones-a-risque-en-fonction-des-positions\" class=\"wp-block-heading\">Zones \u00e0 risque en fonction des positions<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>En position assise<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"267\" height=\"110\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-86.avif\" alt=\"\" class=\"wp-image-6967\"\/><\/figure>\n\n\n\n<p>Ischion<br>Sacrum<br>Styloide du 5<br>Coude<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>En d\u00e9cubitus dorsal<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"183\" height=\"105\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-87.avif\" alt=\"\" class=\"wp-image-6968\" style=\"width:196px;height:auto\"\/><\/figure>\n\n\n\n<p>Sacrum<br>Ischion<br>T\u00eate fibula<br>Occiput<br>Scapula<br>Stylo\u00efde ulna<br>Ol\u00e9cr\u00e2ne<br>Epineuses<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>En d\u00e9cubitus lat\u00e9ral<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"173\" height=\"114\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-88.avif\" alt=\"\" class=\"wp-image-6969\" style=\"width:173px;height:auto\"\/><\/figure>\n\n\n\n<p>Grand trochanter<br>T\u00eate fibula<br>Mall\u00e9oles lat\u00e9rale et m\u00e9diale<br>Epaule<br>Coude<br>Condyle f\u00e9moraux<\/p>\n<\/div>\n<\/div>\n\n\n\n<h2 id=\"facteurs-favorisant-lapparition-descarre\" class=\"wp-block-heading\">Facteurs favorisant l&rsquo;apparition d&rsquo;escarre<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Intrins\u00e8ques<\/td><td>Extrins\u00e8ques<\/td><\/tr><tr><td>Perte de mobilit\u00e9 (surpoids)<br>Age (personne \u00e2g\u00e9e)<br>Etat psychologique d\u00e9t\u00e9rior\u00e9<br>Perte de sensibilit\u00e9\/motricit\u00e9<br>D\u00e9nutrition \/ d\u00e9shydratation<br>ATCD escarre<br>Troubles de la circulation (diab\u00e8te)<br>Incontinence<\/td><td>Cisaillement<br>Concentration de la pression sur un point (ex : ischion)<br>Frottements lors d&rsquo;un transfert<br>Mac\u00e9ration<br>Crevaison du coussin<br>Etat du mat\u00e9riel<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"echelle-de-braden\" class=\"wp-block-heading\">Echelle de Braden<\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"539\" height=\"275\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-89.avif\" alt=\"\" class=\"wp-image-6979\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-89.avif 539w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-89-300x153.avif 300w\" sizes=\"auto, (max-width: 539px) 100vw, 539px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 id=\"role-du-mk-sur-les-escarres\" class=\"wp-block-heading\">R\u00f4le du MK sur les escarres<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Il alerte le patient de la pr\u00e9sence d&rsquo;une escarre<\/li>\n\n\n\n<li>Il participe \u00e0 la pr\u00e9vention de la formation des escarre aupr\u00e8s des patients et de leur famille<\/li>\n\n\n\n<li>Il soulage les points d&rsquo;appui<\/li>\n<\/ul>\n\n\n\n<h3 id=\"les-services-concernes-sont\" class=\"wp-block-heading\">Les services concern\u00e9s sont<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>La p\u00e9diatrie<\/li>\n\n\n\n<li>La g\u00e9rontologie<\/li>\n\n\n\n<li>La neurologie<\/li>\n\n\n\n<li>La traumatologie<\/li>\n<\/ul>\n\n\n\n<h3 id=\"comment-se-forme-une-escarre\" class=\"wp-block-heading\">Comment se forme une escarre ?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Perte d&rsquo;oxyg\u00e9nation des cellules de la peau<\/li>\n\n\n\n<li>D\u00e9nutrition des cellules de la peau<\/li>\n\n\n\n<li>Frottement<\/li>\n\n\n\n<li>Fatigue<\/li>\n<\/ul>\n\n\n\n<h3 id=\"comment-limiter-la-formation-dune-escarre\" class=\"wp-block-heading\">Comment limiter la formation d&rsquo;une escarre<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Faire des push-up<\/li>\n\n\n\n<li>Soulager ses points d&rsquo;appui<\/li>\n\n\n\n<li>Faire ses retournements au lit<\/li>\n\n\n\n<li>Palper\/inspecter sa peau<\/li>\n\n\n\n<li>Regarder ses points d&rsquo;appui (avec un miroir)<\/li>\n<\/ul>\n\n\n\n<h3 id=\"consequence-dune-escarre\" class=\"wp-block-heading\">Cons\u00e9quence d&rsquo;une escarre<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Le patient ne doit plus mettre de bas de contention sur l&rsquo;escarre<\/li>\n<\/ul>\n\n\n\n<h3 id=\"quels-sont-les-signes-dalerte\" class=\"wp-block-heading\">Quels sont les signes d&rsquo;alerte ?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Masse intramusculaire<\/li>\n\n\n\n<li>Chaleur<\/li>\n\n\n\n<li>Peau cartonn\u00e9e<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"materiels\" class=\"wp-block-heading\">Mat\u00e9riels<\/h2>\n\n\n\n<h3 id=\"coussins\" class=\"wp-block-heading\">Coussins<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"177\" height=\"153\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-51.avif\" alt=\"\" class=\"wp-image-5988\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Coussin en mousse<\/p>\n\n\n\n<p>Pour confort\/pr\u00e9vention<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"599\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-52-1024x599.avif\" alt=\"\" class=\"wp-image-5989\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-52-1024x599.avif 1024w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-52-300x176.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-52-768x449.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-52.avif 1186w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Coussin en gel<\/p>\n\n\n\n<p>Plus rigide que l&rsquo;air, donc plus adapt\u00e9 au transfert. Mais le gel se d\u00e9place sur les c\u00f4t\u00e9 (fluage) donc \u00e9duquer le patient pour remettre le gel en place.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-48.avif\" alt=\"\" class=\"wp-image-5976\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-48.avif 800w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-48-300x300.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-48-150x150.avif 150w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-48-768x768.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-48-144x144.avif 144w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-48-80x80.avif 80w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Coussin \u00e0 m\u00e9moire de forme<\/p>\n\n\n\n<p>Adapt\u00e9 au transfert<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"510\" height=\"510\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-46.avif\" alt=\"\" class=\"wp-image-5974\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-46.avif 510w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-46-300x300.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-46-150x150.avif 150w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-46-144x144.avif 144w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-46-80x80.avif 80w\" sizes=\"auto, (max-width: 510px) 100vw, 510px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Coussin \u00e0 air composite<br>Avec surface dur pour cr\u00e9er un appui stable pour les transferts<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"238\" height=\"214\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-45.avif\" alt=\"\" class=\"wp-image-5973\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Coussin \u00e0 air<br>Permet de d\u00e9charger facilement une zone<br>Possible de ne gonfler qu&rsquo;un seul c\u00f4t\u00e9 en cas de d\u00e9s\u00e9quilibre du bassin<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"460\" height=\"375\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-47.avif\" alt=\"\" class=\"wp-image-5975\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-47.avif 460w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-47-300x245.avif 300w\" sizes=\"auto, (max-width: 460px) 100vw, 460px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Coussin \u00e0 air avec t\u00e9tine<\/p>\n\n\n\n<p>Pour d\u00e9charger le sacrum (si surface concave contre le dossier) ou pour ne pas d\u00e9placer la pose endo-ur\u00e9trale (si surface concave vers l&rsquo;avant)<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"281\" height=\"179\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-49.avif\" alt=\"\" class=\"wp-image-5977\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Coussin \u00e0 nid d&rsquo;abeille<\/p>\n\n\n\n<p>Bonne restitution d&rsquo;\u00e9nergie : adapt\u00e9 pour le sport<br>Permet un bon \u00e9quilibre<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-50.avif\" alt=\"\" class=\"wp-image-5978\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-50.avif 800w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-50-300x300.avif 300w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-50-150x150.avif 150w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-50-768x768.avif 768w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-50-144x144.avif 144w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/09\/image-50-80x80.avif 80w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p>Coussin berlingot \u00e0 air<\/p>\n\n\n\n<p>Berlingots dissociables donc tr\u00e8s adapt\u00e9 pour un travail de repositionnement<br>Ne peuvent \u00eatre crever contrairement au coussin \u00e0 air.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h3 id=\"reglages-du-coussin\" class=\"wp-block-heading\">R\u00e9glages du coussin<\/h3>\n\n\n\n<p>Comment v\u00e9rifier si le coussin est assez gonfl\u00e9 ?<\/p>\n\n\n\n<p>Mettre les mains sous les ischions du patient : on doit \u00eatre capable de toucher la toile du fauteuil sous 2 travers de doigt en appuyant. Sinon, le coussin est trop gonfl\u00e9.<\/p>\n\n\n\n<p>Toujours v\u00e9rifier que le coussin est toujours adapt\u00e9.<\/p>\n\n\n\n<p>En r\u00e8gle g\u00e9n\u00e9ral, plus le patient est capable de faire des transferts, plus il faut mettre des coussins durs (m\u00e9moire de forme ou \u00e0 air composite par exemple)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"reglage-fauteuil\" class=\"wp-block-heading\">R\u00e9glage fauteuil<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Largeur : 1 travers de doigt de chaque c\u00f4t\u00e9 du bassin<\/li>\n\n\n\n<li>Hauteur des cale-pied : 90\u00b0 de flexion de genou. Si trop de flexion alors surcontrainte sur les ischions. Si trop bas alors risque de glissement et contrainte en cisaillement.<\/li>\n\n\n\n<li>Profondeur : 2 travers de doigts entre creux poplit\u00e9 et fauteuil. Si trop peu de profondeur, surcontrainte sur les ischions, si trop de profondeur alors contrainte sur le creux poplit\u00e9.<\/li>\n\n\n\n<li>Hauteur du dossier : sous les scapulas pour les laisse libre<\/li>\n\n\n\n<li>Toujours v\u00e9rifier que le fauteuil est toujours adapt\u00e9.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9finition L\u00e9sion cutan\u00e9e d&rsquo;origine isch\u00e9mique li\u00e9e \u00e0 une compression des tissus mous entre un plan dur et une saillie osseuse Les stades L&rsquo;escarre peut se former en moins de 3 heures et est d\u00e9crite en&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=5970\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0Escarres\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[394],"tags":[],"class_list":["post-5970","post","type-post","status-publish","format-standard","hentry","category-champs-specifiques-champ-tegumentaire"],"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5970","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5970"}],"version-history":[{"count":16,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5970\/revisions"}],"predecessor-version":[{"id":6981,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/5970\/revisions\/6981"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5970"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5970"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5970"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}