Necrotizing Soft Tissue Infections (NSTIs)
1 hour Audio and Power Point Presentation
Recorded September 25, 2015
The discussion of identifying and managing patients with a necrotizing soft tissue infection is important to do in a timely manner as the management is surgical and not medical. Infection can track up to 1 inch per hour, often along fascial planes so the infection is not always evident on the skin. Mortality ranges from 25-35% for necrotizing fasciitis up to 80% for necrotizing myositis. This presentation is framed around a case of a 42 year old man who initially presented to an urgent care.
- Identify the benign manner in which NSTIs can present
- Identify common symptoms and signs of NSTIs
- Describe how to chart findings
- Recite the importance of communication
- Explore the advatages of timeliness of care and documentation
Disclosures: The above faculty had no relevant financial relationships to disclose.
Michael Weinstock, MD
Michael is a Professor of Emergency Medicine, adjunct in the Department of Emergency Medicine at The Ohio State University, Chairman and Director of Medical Education in the Emergency Department at Mt. Carmel St. Ann’s, and Medical director in The Ohio Dominican University PA studies program. He is risk management section editor of Emergency Medicine Reviews and Perspectives (EM RAP), a CME program with international circulation to over 18,000 physicians, and editor-in-chief for Urgent Care Reviews and Perspectives (UC RAP). He is Associate editor for The Journal of Urgent Care Medicine (JUCM). He has lectured nationally on issues such as risk management and patient safety and has published multiple papers in peer-reviewed journals. In 2006 he authored Bouncebacks! Emergency Department Cases: ED Returns and in 2011 Bouncebacks: Medical and Legal with reviews in Annals of Emergency Medicine, Archives of Emergency Medicine and JAMA. In 2014 he authored The Resident’s Guide to Ambulatory Care, 7th edition, a book started while in residency, now with sales of almost 35,000 copies. In 2015 he authored Bouncebacks! Pediatrics. Early in his career, while working as a full time Emergency Physician, Michael spent 12 years as a Clinical Assistant Professor in the Infectious Diseases Clinic at The Ohio State University caring for patients with HIV/AIDS and working as a clinical trials sub-investigator. He has practiced medicine on both a local and global scale, including volunteer medical work in Papua New Guinea, Nepal, and the West Indies. In March 2014 he received an award for Outstanding Contributions to the Field of Emergency Medicine from the University of Maryland Emergency Medicine residency program. In March of 2015 he was the lead author on an original chest pain study which was published in JAMA Internal Medicine.
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