A Unique Waterskiing Injury Leading to a Necrotizing Foot Infection in an Insulin-Dependent Diabetic

Mozer, Mark A.; Mozer, Cheryl H.; Kujath, Scott W.

doi:10.1177/1534734606288086

Cited by 4 publications

(6 citation statements)

References 22 publications

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“…In the category, puncture wounds, the external traumas identified were mainly stepping, either barefoot or in shoes, on sharp objects, for example, a toothpick, needle, metal nail, tack, screw, or piece of shell 54,67,71,74,76 . Unusual activities that led to trauma included prolonged walking during holidays, playing five softball games in 1 day, and a water ski binding rubbing on the foot 75,78,88 …”

Section: Resultsmentioning

confidence: 99%

“…Trod on a metal nail 60 Trod on a metal nail that punctured shoe 60 Walking barefoot and trod on a toothpick 67 Unusual activity Officiated at 5 softball games in one day and subsequently developed cellulitis and ulceration 78 Increased walking activity on the day ulcer appeared 75 Increased exercise on holiday 65 Fell off a water ski and dragged by ski binding on the foot in water causing abrasion, oedema and bruising 88 Developed a blister on the planter aspect the first right toe after a walking holiday 106 Burns Chemical burns Exposure to undiluted Dettol split on shoe 45 Urine burn on foot due to incontinence 43 Applied raw crushed garlic to feet to self-treat neuropathy 57 Chinese herbal medicine patches for pain relief on ischaemic toe 120…”

Section: Mechanicalmentioning

confidence: 99%

“…54,67,71,74,76 Unusual activities that led to trauma included prolonged walking during holidays, playing five softball games in 1 day, and a water ski binding rubbing on the foot. 75,78,88…”

Section: Electricalmentioning

confidence: 99%

See 2 more Smart Citations

The reported external traumas among people with diabetes‐related foot ulcers and their outcomes: A systematic review of case reports

Abu‐Qamar

Kemp

Whitehead

2022

International Wound Journal

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The objective of this systematic review was to collate evidence published in case reports on the reported origins of external traumas that contribute to the development of diabetic foot ulcers and their outcomes. The review also aimed to suggest reporting criteria for external traumas contributing to the development of diabetic foot ulcers. The search strategy led to the identification of 1224 articles across six electronic databases. Additional articles were also sourced from other electronic platforms (Google scholar) and the reference lists of the included case reports. Ninety-four articles met the inclusion criteria and were published between 1989 and 2020. The included case reports were independently assessed for methodological quality using a Joanna Briggs Institute (JBI) checklist. Following the verbatim extraction of data, the JBI three steps approach to "meta-aggregation" for managing qualitative data was used to synthesise the data on external traumas that contributed to the development of foot ulcers along with the reported outcome. Information on the included case report characteristics was also extracted. The case reports included 155 patients. Average age was 57.2 years with a range from 17 to 86 years. External traumas were mainly experienced in the domestic setting and were categorised into two main categories, mechanical trauma (n = 87, 60%) or burns (n = 58, 40%). The most frequently reported origins of external trauma were contact with a hot surface, animal bites, friction, and puncture wounds. Although healing was the most frequent outcome, a prolonged time was recorded for the ulcers to heal highlighting the importance of prevention. Prevention might not eradicate origins of external trauma 100%, showing the importance of patient and/or family role in monitoring domestic risks, early detection of ulcer and seeking immediate professional care. Foot ulcers need to be reported against standardised criteria considering local characteristics of the ulcer and the individual's general profile.

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Section: Resultsmentioning

confidence: 99%

Section: Mechanicalmentioning

confidence: 99%

See 1 more Smart Citation

The reported external traumas among people with diabetes‐related foot ulcers and their outcomes: A systematic review of case reports

Abu‐Qamar

Kemp

Whitehead

2022

International Wound Journal

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“…The patient will experience excruciating pain in the early stages. The pain caused by NF often seems out of proportion to the visible symptoms present 6 . Additionally, NF often affects IV drug users and alcoholics 7 .…”

Section: Flesh‐eating Diseasementioning

confidence: 99%

“…Treatment of NF must be swift and aggressive if a favorable outcome is to be achieved 6 . Time is of the essence because of the rapid progression of infection, therefore debridement and irrigation are performed as soon as possible.…”

Section: Flesh‐eating Diseasementioning

confidence: 99%

The Nurse's Role in Managing Necrotizing Fasciitis

Magel¹

2008

AORN Journal

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Necrotizing fasciitis (NF), also known as "flesh-eating disease," is a rapid-acting, potentially deadly infection. This condition is devastating in its ability to spread through the body at an alarming rate. It can be caused by almost any type of injury that introduces microorganisms into the subcutaneous tissues. The initial assessment can be deceptive, so awareness is the key to recognition. This condition often goes unrecognized until it is too late or major disfigurement results. Vital nursing strategies for managing the care of patients with NF include early recognition, accurate assessment, and aggressive treatment.

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Evaluation and Management of Watercraft-Related Injuries for Acute Care Surgeons: Towards Improving Care and Implementing Effective Public Health Prevention Policies

Ehrhardt

Newsome

Das

et al. 2022

Annals of Surgery Open

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Boating has exposed humans to elemental hazards for centuries. What was once a lifelong craft and time-honored skillset is now, with modern technology, a popular recreational activity. Boating safety has inherent limitations and has been historically challenging to enforce. These circumstances have given way to a rising number of watercraft-associated injuries and fatalities. This review aims to investigate the diagnosis, work-up, and management of watercraft-related injuries, including blunt mechanisms, propeller wounds, water-force trauma, associated marine infections, and submersion injuries, as well as outline gaps in current public health policy on watercraft injuries, potential interventions, and available solutions. Motorboats and personal watercraft differ in size, power modality, and differential risk for injury. Accidents aboard watercraft often share commonalities with motor vehicles and motorcycles, namely: rapid deceleration, ejection, and collision with humans. The complexity of care is added by the austere environment in which many watercraft accidents occur, as well as the added morbidity of drowning and hypothermia. Wounds can also become infected by marine organisms, which require wound care and antimicrobial therapy specific to the aquatic environment in which the injury occurred. The treatment of these patients can be further exacerbated by the prolonged transportation times due to complicated water rescue. There are many measures that can prevent or abate watercraft injuries, but inconsistent regulations and enforcement may impair the success of these interventions. Further research is needed to identify possible solutions to common causes of watercraft injuries, such as inconsistent lifejacket use and bow riding.

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A Unique Waterskiing Injury Leading to a Necrotizing Foot Infection in an Insulin-Dependent Diabetic

Cited by 4 publications

References 22 publications

The reported external traumas among people with diabetes‐related foot ulcers and their outcomes: A systematic review of case reports

The reported external traumas among people with diabetes‐related foot ulcers and their outcomes: A systematic review of case reports

The Nurse's Role in Managing Necrotizing Fasciitis

Evaluation and Management of Watercraft-Related Injuries for Acute Care Surgeons: Towards Improving Care and Implementing Effective Public Health Prevention Policies

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