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Sat Jun 20 14:23:26 BST 2009

I agree that he should have been explored but 6 hours or so is early for necrotizing fascitis to set in after trauma. I would look else where for the source of the obvious sepsis

Norman

Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu> 

________________________________

From: trauma-list-bounces at trauma.org on behalf of Gross, Ronald
Sent: Sat 6/20/2009 2:31 AM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: A trauma case...impaled branch

Cloudy greyish watery exudate seen with necrotizing fasciiitis
Ron

________________________________________
From: trauma-list-bounces at trauma.org [trauma-list-bounces at trauma.org] On Behalf Of Andrew J Bowman [andrewj.bowman at gmail.com]
Sent: Saturday, June 20, 2009 12:23 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: A trauma case...impaled branch

Not familiar with "dishwater" description.

Can you please explain further?

Thanks,

Andrew

>
> Third.    Several infectious conditions are real  possibilities, even
> without any dishwater.
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A trauma case...impaled branch