{"pk":7851,"title":"Diagnosis of Necrotizing Fasciitis with Bedside Ultrasound: the STAFF Exam","subtitle":null,"abstract":"The early diagnosis of necrotizing fasciitis is often ambiguous. Computed tomography and magnetic resonance imaging, while sensitive and specific modalities, are often time consuming or unavailable. We present a case of necrotizing fasciitis that was rapidly diagnosed using bedside ultrasound evaluating for subcutaneous thickening, air, and fascial fluid (STAFF). We propose the STAFF ultrasound exam may be beneficial in the rapid evaluation of unstable patients with consideration of necrotizing fasciitis, in a similar fashion to the current use of a focused assessment with sonography for trauma exam in the setting of trauma. [West J Emerg Med. 2014;15(1):111–113.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"ultrasound"},{"word":"necrotizing fasciitis"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/638584rd","frozenauthors":[{"first_name":"Erik","middle_name":"","last_name":"Castleberg","name_suffix":"","institution":"Department of Emergency Medicine, Loma Linda University, Loma Linda, California","department":"None"},{"first_name":"Natasa","middle_name":"","last_name":"Jenson","name_suffix":"","institution":"Department of Emergency Medicine, Loma Linda University, Loma Linda, California","department":"None"},{"first_name":"Vi","middle_name":"Am","last_name":"Dinh","name_suffix":"","institution":"Department of Emergency Medicine, Loma Linda University, Loma Linda, California; Department of Medicine, Division of Pulmonary and Critical Care, Loma Linda University, Loma Linda, California","department":"None"}],"date_submitted":"2013-05-26T21:18:21Z","date_accepted":"2013-05-26T21:18:21Z","date_published":"2013-10-17T23:16:34Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7851/galley/4570/download/"}]}