Medical Adhesive-Related Skin Injury (MARSI)
Records a medical adhesive-related skin injury against the 2013 consensus statement.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- The skin change persists 30 minutes or more after the adhesive was removed
- Yes
- What was seen
- Mechanical: skin stripping, epidermis removed with the adhesive
Result: a mechanical injury, skin stripping, persisting 30 minutes after removal
The tool opens with these values already filled in. Replace them with your own.
What the result means
- The criterion
- Erythema or another skin abnormality persisting 30 minutes or more after the adhesive is removed. Anything that fades sooner is not an injury.
- Mechanical
- Skin stripping, tension injury or blister, and skin tear.
- Dermatitis
- Irritant contact, confined to the adhesive footprint, or allergic, extending beyond it.
- Other
- Maceration and folliculitis.
- Irritant against allergic
- Distribution and timing tell them apart. An irritant reaction appears quickly inside the footprint; an allergic one needs prior sensitization, appears later, and recurs faster.
- A skin tear from adhesive
- Both things at once: a mechanical injury of this kind and a classifiable skin tear. Recording only one loses either the mechanism or the wound.
What you enter
- The skin change persists 30 minutes or more after the adhesive was removed (the diagnostic criterion)
- What was seen (leave empty if not yet categorized)
How this is calculated
McNichol L, Lund C, Rosen T, Gray M. Medical adhesives and patient safety: state of the science. Consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. J Wound Ostomy Continence Nurs. 2013;40(4):365-380. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.