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7,8 The significance of this is clear: bronchoscopy or angiography may not suffice to make the diagnosis in the emergency setting. 13 EmergencyManagement The immediate management includes overinflation of the cuff of the tracheostomy or endotracheal tube, and aspiration of blood to clear the airway.
In fact, the World Society of Emergency Surgery (WSES) classification assigns grades I-III depending on their Young-Burgess classification, but any patient hemodynamically unstable from their pelvic fracture is automatically WSES grade IV regardless of their fracture pattern. of pelvic fractures to be open.
20,21 Imaging may be helpful in diagnosis or surgical planning but cannot rule out NSTI and may delay definitive surgical management. Diagnosis is clinical and challenged by overlap with more superficial skin infections (i.e. cellulitis) and the need for thorough examination of the genital region.
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