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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. Preperitoneal Packing While most often done in the operatingroom, PPP may be done in the trauma bay in rare instances depending on the institution.
13 EmergencyManagement The immediate management includes overinflation of the cuff of the tracheostomy or endotracheal tube, and aspiration of blood to clear the airway. Approximately 35-50 percent of patients develop a sentinel bleed prior to life-threatening hemorrhage.
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.
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