I have a question about escahr on toes. I have a patient with eschar on 4 of his 5 toes. we are currently doing wound care BID....he is in home health. we clean it with wound cleanser, pat dry, apply accuzyme to the eschar, and then around the outer part of the eschar is red, and also all the toenails have fallen off....so we put triple antibiotic ointment on that area...we have 2X2's between toes...and then wrapped with kerlex. we do this two times a day. This patient is on dialysis 3 days a week, has CHF, Blood surgars out of control. The dr has given us until Aug 30 to try and do something with these toes....otherwise they will amputate...either the foot...or even the whole leg. The Patients toes were looking good about two weeks ago...went into the hospital with a CHF episode....for 3.5days....not one nurse did woundcare on his feet. when he came back home...all the toes were had been working on are now all black...and the toenails off. Any suggestions for anything different to try? or is what we are doing the only thing left before amputation? Any help would be great. Thanks!