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A 24-year-old male with history of quadriplegia and traumatic brain injury presents to the emergencydepartment with hemorrhage in his oral cavity and blood from his tracheostomy tube. He has had a tracheostomy for approximately 15 months since his injury. Blood is spurting from the orifice of the tube.
Conclusion: Positive outcomes in diagnosis and management of FG rely on rapid intervention as soon as it is suspected. A thorough physical exam, imaging, and laboratory studies can assist, but definitive diagnosis can only be made in the operatingroom. Fournier's gangrene and its emergencymanagement.
C, respiratory rate 20 breaths per minute, and oxygen saturation 95% on room air. This is less critical in ED management of the unstable pelvic fracture, as the optimal site for identification of rectal or vaginal tears is the operatingroom. An x-ray in the trauma bay demonstrated an AP grade III fracture.
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