Dr. Helman is an emergency physician at North York General Hospital in Toronto. He is an assistant professor at the University of Toronto, Division of Emergency Medicine, and the education innovation lead at the Schwartz/Reisman Emergency Medicine Institute. He is the founder and host of Emergency Medicine Cases podcast and website (www.emergencymedicinecases.com).
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3 Responses to “Necrotizing Fasciitis Diagnoses and Therapy”
July 22, 2018
Hirsch KennethI was surprised to see no mention of Hyperbaric Oxygen Therapy in the treatment of Necrotizing Fasciitis. I realize that many facilities do not have access to HBO, but if it is readily available HBO can be of great benefit in treating Nec Fasc as an adjunct to surgery and antibiotics.
July 22, 2018
Dan SayersGood overview. I’m in favor of early Hyperbaric Oxygen Therapy in addition to all of the above. There is good scientific support for early HBO2 therapy and it is supported by 3rd party payors.
July 30, 2018
Zakiuddin G.Oonwalavery informative article. The ‘finger test’ seems to be a simple confirmatory test. How ever this test may require some exposure to minor surgery, if not performed by a surgeon.