scholarly journals Swimming with the Pigs: A Case of Severe Soft Tissue Infection during a Caribbean Vacation

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Alexandra W. Dretler ◽  
Jesse T. Jacob ◽  
Nadine G. Rouphael
Keyword(s):  
Emergency Department ◽  
Soft Tissue ◽  
Activities Of Daily Living ◽  
Soft Tissue Infection ◽  
Daily Living ◽  
Complete Resolution ◽  
Surgical Intervention ◽  
Blood Cultures ◽  
The Bahamas ◽  
Severe Soft Tissue

A 74-year-old man presented to the emergency department with severe right leg cellulitis following a trip to the Bahamas where he swam in both chlorinated pools and the ocean. His blood cultures grew Shewanella species, a marine pathogen known to cause disease in humans, following exposure to seawater. He was treated with cefepime for a total of two weeks without needing any surgical intervention. The patient had complete resolution of infection and was able to return to his activities of daily living.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

Injected novel legal highs associated with severe soft tissue infection: A regional hand unit's experience

The Surgeon ◽  
2017 ◽  
Vol 15 (5) ◽  
pp. 315-317
Author(s):  
Li Yenn Yong ◽  
Zeeshan Sheikh ◽  
Katarzyna M. Milto ◽  
Claire Simpson
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Legal Highs ◽  
Severe Soft Tissue

Using Activities of Daily Living to Evaluate the Design and Placement of a Proximal Radius Fracture Fixation Device

2009 ◽  
Author(s):  
David W. Wagner ◽  
Alejandro Vallejo
Keyword(s):  
Boundary Conditions ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Design Space ◽  
Surgical Intervention ◽  
Element Model ◽  
Rigid Fixation ◽  
New Device ◽  
Everyday Activities ◽  
Active Lifestyles

The return of a patient to activities of daily living following a surgical intervention (i.e. joint replacement, rigid fixation, etc.) involving an implantable device is often used as one component to measure the success of the surgery [1]. The longevity of the implant subject to the forces imposed when performing those normal daily activities is another. As people are living longer and continuing to maintain active lifestyles, the paradigm of everyday activities that are used to evaluate implant longevity must also evolve. Although physiological boundary conditions during pre-clinical implant evaluations have been used for simulating the life span of a new device, only a small number of everyday activities used for deriving those forces have been widely characterized. The purpose of this paper is to demonstrate how musculoskeletal simulation can be used for providing the boundary conditions of a finite element model used to evaluate the design space of an implant subject to specific activities of daily living (Figure 1).

scholarly journals Necrotizing Fasciitis Caused by Photobacterium damselae: The First Case in Portugal

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Diogo Guimaraes ◽  
Luís Ribeiro ◽  
Luís Vieira ◽  
Ruben Coelho
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Acellular Dermal Matrix ◽  
Tissue Infection ◽  
Dermal Matrix ◽  
First Case ◽  
Photobacterium Damselae ◽  
Acellular Dermal ◽  
Severe Soft Tissue

Necrotizing fasciitis is a severe soft tissue infection with a high mortality rate and therefore requires emergent surgical treatment. Several microorganisms can cause this infection, Photobacterium damselae being one of them, with only eight cases previously published in the literature. We report the first ever case of necrotizing fasciitis, caused by this microorganism, in Portugal. In this case report the patient survived after several debridement procedures and reconstruction of the upper limb with acellular dermal matrix and skin graft. A brief review of the Photobacterium damselae soft tissue infection reports as well as the clinical presentation, diagnosis, pathophysiology and treatment of necrotizing fasciitis can also be found in this paper.

scholarly journals P130: Feasibility of self-assessing functional status in older emergency department patients

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S111-S111
Author(s):  
V. Boucher ◽  
V. Boucher ◽  
M. Lamontagne ◽  
J. Lee ◽  
M. Émond
Keyword(s):  
Emergency Department ◽  
Activities Of Daily Living ◽  
Functional Status ◽  
Daily Living ◽  
Assessment Tool ◽  
Assessment Method ◽  
Assessment Tools ◽  
Self Assessment ◽  
Medical Reason ◽  
Significant Difference

Introduction: Geriatric Emergency Department (ED) guidelines recommend systematic screening of older patients for geriatric syndromes. However, compliance issues to this recommendation have already been observed. Self-assessment tools could be an interesting solution as self-assessed general, mental and physical health was shown to be predictive of functional decline and mortality. The Older Americans Resources and Services scale (OARS), is a simple geriatric functional assessment scale that is widely used by professionals to quantify patients’ ability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL). However, its use as a self-assessment tool has never been tested. Objective: to evaluate the feasibility of the self-assessed OARS compared to its standard administration by a research assistant (RA) in older ED patients. Methods: A planned sub-analysis of a single center randomized crossover pilot study in 2018 was realized. Patients aged ≥65 who consulted to the ED for any medical reason were included. Patients were excluded if they: 1) required resuscitation (CTAS 1); 2) were unable to consent/to speak French; 3) had a physical condition preventing the use of an electronic tablet. Patients were randomized 1:1 to either 1) tablet-based functional status self-assessment or 2) the RAs questionnaire administration at first, after which they crossed-over to the other assessment method. Paired t-tests were used to assess the score differences. Results: 60 patients were included. Mean age was 74.4 ± 7.6 and 34 (56.7%) participants were women. Mean OARS score according to RA was 25.1 ± 3.3 and mean self-assessed OARS score was 26.4 ± 2.5 (p < 0.0001). There was also differences when looking at the AVQ and AIVQ separately. Mean AVQ scores were 12.5 ± 1.8 and 13.5 ± 0.9 (p < 0.0001) and mean AIVQ scores were 12.6 ± 1.8 and 12.9 ± 1.8 (p = 0.04) for RA assessment and self-assessment, respectively. Conclusion: Our results show a statistically significant difference between RA assessment and patient self-assessment of functional status, and this difference seems to be more pronounced regarding AVQ than AIVQ. The study confirms that self-assessment of functional status by older ED patients is feasible, but further testing is required in order to confirm the validity and psychometric values of this self-administered version of the OARS.

Validity of an Activities of Daily Living Questionnaire Among Older Patients in the Emergency Department

1999 ◽  
Vol 52 (11) ◽  
pp. 1023-1030 ◽  
Author(s):  
Jane McCusker ◽  
François Bellavance ◽  
Sylvie Cardin ◽  
Éric Belzile
Keyword(s):  
Emergency Department ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Older Patients

Severe Soft-Tissue Infection Caused by Eikenella corrodens

1992 ◽  
Vol 15 (4) ◽  
pp. 740-741 ◽  
Author(s):  
J. H. Poliner ◽  
A. Khan ◽  
C. U. Tuazon
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Eikenella Corrodens ◽  
Severe Soft Tissue
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