Pitfalls

Necrotising fasciitis is a rare but potentially life-threatening infection that requires a high index of suspicion – if you don’t consider it in your differential you won’t diagnose it!
Time to surgical intervention is critical – ensure the whole team involved in caring for the patient know this and make efforts to keep momentum towards this!
Ensure relevant senior clinicians are aware of the patient and the working diagnosis. As a minimum, this should include ED, surgery, anaesthetics, microbiology and intensivists.