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    Can necrotizing soft tissue infection be reliably diagnosed in the emergency department?

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    Author
    Henry, S.M.
    Davis, K.A.
    Morrison, J.J.
    Date
    2018
    Journal
    Trauma Surgery and Acute Care Open
    Publisher
    BMJ Publishing Group
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.1136/tsaco-2017-000157
    Abstract
    Necrotizing soft tissue infections (NSTIs) are associated with a high mortality and require prompt recognition and treatment, consisting of aggressive surgical debridement and critical care support. Diagnosis is a key step, which is generally made in the operating room (OR), but the decision to debride requires guidance. This is frequently made on clinical grounds, but NSTI can be occult in presentation and several other infective processes can mimic NSTI. It is unknown whether the various scoring systems described in the literature can enable clinicians to reliably diagnose NSTI in the emergency department, rather than the OR. The topic was debated at the 36thAnnual Point/Counterpoint Acute Care Surgery Conference and the following article summarizes the discussants points of view along with a summary of the evidence.Level of Evidence Level III. Copyright Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved.
    Keyword
    Fasciitis, Necrotizing
    Soft Tissue Infections
    necrotizing soft tissue
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059354862&doi=10.1136%2ftsaco-2017-000157&partnerID=40&md5=b897421e8e46b7ff5ab21a0c97a22e0b; http://hdl.handle.net/10713/9027
    ae974a485f413a2113503eed53cd6c53
    10.1136/tsaco-2017-000157
    Scopus Count
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