Abstract
Ultrasound (US) is a critical skill for the assessment of soft tissue infections in the austere environment. US is more accurate than palpation for the identification of abscesses, can identify foreign bodies of various compositions, and is useful in the diagnosis of cellulitis. It can also be used to plan for the drainage of abscesses as well as the identification of deep abscess tracts and complications. US can be used to guide the removal of foreign bodies and decreases the size of surgical incision during removal. Regardless of the setting and availability of resources, US is portable, mobile, and provides real-time information that can make a difference in the diagnosis and treatment of soft tissue infections.
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Key Literature Reviewed
Gentile DA. Wilderness injuries and illnesses. Ann Emerg Med. 1992;21:853–61.
Blaivas M. Water bath evaluation technique for emergency ultrasound of painful superficial structures. Am J Emerg Med. 2004;22:589–93.
Stanford KA. Trends in skin and soft tissue-related injuries in NOLS wilderness expeditions from 1984 to 2012. Wilderness Environ Med. 2017;28:307–12.
Fugitt JB. Necrotizing fasciitis. Radiographics. 2004;24:1472–6.
Squire BT. ABSCESS: applied bedside sonography for convenient evaluation of superficial soft tissue infections. Acad Emerg Med. 2005;12:601–6.
Adhikari S. Sonography first for subcutaneous abscess and cellulitis evaluation. J Ultrasound Med. 2012;31:1509–12.
Tayal VS. The effect of soft-tissue ultrasound on the management of cellulitis in the emergency department. Acad Emerg Med. 2006;13:384–8.
Montalvo R. Morbidity and mortality in the wilderness. West J Med. 1998;168:248–54.
Shrestha D. The role of ultrasonography in detection and localization of radiolucent foreign body in soft tissues of extremities. JNMA J Nepal Med Assoc. 2009;48:5–9.
Graham DD. Ultrasound in the emergency department: detection of wooden foreign bodies in the soft tissues. J Emerg Med. 2002;22:75–9.
Horton LK. Sonography and radiography of soft- tissue foreign bodies. AJR Am J Roentgenol. 2001;176:1155–9.
Soudack M. Clinically unsuspected foreign bodies: the importance of sonography. J Ultrasound Med. 2003;22:1381–5.
Feldman MK. US artifacts. Radiographics. 2009;29:1179–89.
Jacobson JA. Wooden foreign bodies in soft tissue: detection at US. Radiology. 1998;206:45–8.
Rubin JA. Clean and dirty shadowing at US: a reappraisal. Radiology. 1991;181:231–6.
Paziana K. Soft tissue foreign body removal technique using portable ultrasonography. Wilderness Environ Med. 2012;23:343–8.
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Grisham, J., Perreault, M.D. (2021). Advanced Diagnostic Topic for Austere Providers: Skin and Soft Tissue. In: Nicholson, B.D., Vitto, M.J., Dhindsa, H.S. (eds) Manual of Austere and Prehospital Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-030-64287-7_13
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DOI: https://doi.org/10.1007/978-3-030-64287-7_13
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