What are the most important steps of management?
The most important steps of management are immediate surgical debridement and antibiotic therapy. Patients should receive supportive therapy and intensive care.
List the management options.
Surgical exploration and debridement: If applicable, amputation of the affected extremity may be necessary.
Antibiotic therapy: penicillin plus clindamycin or tetracycline
Assessment of compartment pressure if compartment syndrome is suspected
Hyperbaric oxygenation use is controversial.
Tetanus toxoid if indicated
How is the mortality rate?
Mortality rate
Untreated: ∼ 100%
With appropriate treatment: 20–30%
Last changeda year ago