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Annals of B Pod - Necrotizing Fasciitis
Dr. Ramsey shares a case where catfishing ended in necrotizing fasciitis and why you always think twice before discharging “cellulitis” on oral antibiotics.
Grand Rounds Recap 8.11.21
Another awesome week of Grand Rounds! If you couldn’t catch it live check out the summary here! Dr. Haffner discusses mesenteric ischemia, Dr. Roblee addresses dealing with patient deaths, Dr. Thompson gives us insight into quality improvement, Dr. Goodman reviews product resuscitation in trauma patients, and Dr. Ketabchi, one of our esteemed PEM fellows, takes us through neonatal sepsis.
Under Pressure - Compartment Syndrome Diagnostics
Compartment syndrome is a surgical emergency that can present after a variety of insults, ranging from those we commonly encounter in the ED (fractures, crush injuries) to more rare clinical presentations (snake bites, electrocution). The initial elevation of compartment pressures can be secondary to internal (ex. bleeding, swelling, fluid overload) and/or external (ex. compressive devices, burn eschar) factors. In this post, we detail the history/physical and diagnostic evaluation of possible compartment syndrome.