Case List History Objectives Radiology Images Questions BURNS AND CRITICAL CARE Case #6 - A 52 year old man presents with a history of mild trauma DISCUSSION QUESTIONS: 6.) If you suspect a necrotizing soft tissue infection, what should you do? If a necrotizing soft tissue infection is suspected, diagnosis and treatment is urgent. Under local anesthesia, a 2 cm incision down to fascia should be made in the affected area. Necrotic tissue, lack of bleeding, and foul dishwater fluid are all ominous signs. A finger inserted into such a wound will easily push tissue away along the fascial plane and this is sometimes called the finger test.
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