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Initial triage and escalation
High risk states
Sepsis physiology
Fever
Hypothermia
Tachycardia
Hypotension
Necrotizing soft tissue infection concern
Pain out of proportion
Rapid progression hours to days
Crepitus
Osteomyelitis concern
Exposed bone
Probe to bone positive
Critical ischemia concern
Cool mottled limb
Absent distal pulses
Uncontrolled bleeding
Anticoagulant use
Coagulopathy
Immediate actions when unstable
Airway and breathing support if altered or respiratory distress
Oxygen for hypoxemia
Noninvasive ventilation consideration for fatigue
Circulation support for shock
IV access
Crystalloid bolus for hypotension
Vasopressor if fluid refractory
Broad infection evaluation if systemic signs
Blood cultures before antibiotics if feasible
Lactate for hypoperfusion
Early consultation triggers
Surgery for suspected necrotizing infection
Orthopedics or plastics for deep wound with exposed bone
Wound care team for staging and dressing plan
Key decision points
Care pathway selection
Prevention focus
At risk skin
Stage 1 injury
Local wound management focus
Stage 2 injury
No systemic infection
Deep infection pathway
Stage 3 injury
Stage 4 injury
Undermining or tunneling
Surgical pathway
Extensive necrosis
Unstageable injury with eschar and infection
Flap candidacy evaluation needed
Hemodynamic and pain priorities
Targets and monitoring
Perfusion maintenance
Mean arterial pressure goal individualized
Urine output monitoring if critically ill
Pain control
Rest pain
Dressing change pain
Neuropathic features
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.