From the classroom to the emergency room, O.R. and beyond. You're joining Trauma ICU Rounds with your host, Dr. Dennis Kim.

I'd like to welcome you to trauma ICU rounds. I'm your host, Dennis Kim. It's been a little while since we last had rounds. I was up in Canada for the last month,

visiting with family and also had the opportunity to do a critical care locum in Victoria,

which is located on Vancouver Island, where I also had the opportunity to both meet

and actually work alongside one of my favorite podcasters, A1 Dr. Adam Thomas, from the

Internet Book of Critical Care.

On that note, I wanted to send a huge shout out to all the fantastic and talented

healthcare professionals at the Royal Jubilee and Victoria General Hospitals.

Thank you so much for your service.

Now, today on rounds, I wanted to discuss

one of my favorite ACS or EGS topics, and that is necrotizing soft tissue infections or NSTIs.

And I'd like to thank Dr. Tim Montre for suggesting this topic for the show. So we have four

key objectives for today's rounds, and by the end of the

podcast, you should be able to, number one, describe the classification and microbiology of

NSTIs. Number two, identify the key risk factors for these infections. Three, discuss the

clinical presentation and diagnostic approach to NSTIs, and to that extent,

we'll briefly touch upon the Lirinic score, and finally, you should be able to understand the role

of surgery and newer adjuncts in the management of patients with NSTIs. So, NSTIs are rare,

life-threatening infections characterized by aggressive or fulminant tissue destruction,

and it may come as no surprise that they're associated with significant morbidity as well as mortality,

especially if there are delays in diagnosis or if attempts at initial source control are inadequate.

I think that it's important to point out that this group of infections can involve any

...