事件记录
面试官: Skin infections, when is it the time to go to the ER? We'll talk about that next on 范围.
播音员: This is From the Frontlines with emergency room physician Dr. 特洛伊马德森在范围报道.
面试官: 情况是这样的. You've got this redness on your arm. It could be from maybe an ingrown, a cut, maybe an ingrown toe nail. Maybe it's just redness on your arm that starts spreading and taking up more and more of your skin. 可能是感染. 你应该去急诊室吗? Dr. 特洛伊马德森 is an emergency room physician at University of Utah Health. First of all, I think it's important to 说 that infections can be really serious. 就像, we tend to forget how bad they can be because we've gotten really good at dealing with them.
Dr. 马德森: 完全正确. Infections are one of these things where you may look down, 再一次。, 你的胳膊或腿, 你会看到一些发红的区域, 你认为, "Oh, 它只会变得更好." But we often sort of take for granted that, 是的, 感染很容易治疗, 他们不杀人. But we certainly see cases in the ER of very serious infections. Oftentimes people who have put off going to the ER for whatever reason, 感染生长的地方, 这是一种非常严重的感染, it then leads to sepsis or an infection into the blood stream, and sometimes can be a life-threatening thing.
面试官: So that type of an infection, would it ever get better just on its own? 就像, if I see that red area on my arm and it starts to spread, 我说, “嗯, I really don't want to go to the ER. 也许它会变得更好." Will it get better without treatment? Will my immune system fight it off?
Dr. 马德森: 通常不是. 大发娱乐看到的案例. . .
面试官: 真的?
Dr. 马德森: 是的. It's one of these things where once you get that bacterial infection that settles in there, 说, in the arm or in the leg or wherever it is and for whatever reason, oftentimes I don't have a great answer for why this infection started. It's typically not going to get better without antibiotics. The exception to that might be if you have a little abscess, so like a little pocket of infection and maybe it starts to drain, that sort of thing once it drains may get better. But if that infection then spreads to the skin around that abscess where you start to get a lot more redness, 这是扩大, you see red streaks tracking up your arm, that can be a very serious thing and without at least starting some sort of antibiotic, 无论是口服抗生素还是, 在更严重的情况下, 静脉注射抗生素, it's really not going to get better.
面试官: 急诊室或紧急护理?
Dr. 马德森: If it's the sort of thing where it's just a local area of redness, 也许不会比, 说, 3或4英寸长, you're probably okay to go to an urgent care. They'll prescribe some antibiotics. But if you're having fevers with it, 发冷, you see streaks tracking up your arm, I would recommend going to the ER because those are cases where you may need some blood work, you may even need 静脉注射抗生素 and admission to the hospital.
面试官: 让你. So, if you have an infection and it continues to get bigger and bigger, it's not going to get better on its own, you do need to go talk to somebody, 否则可能是坏消息.
Dr. 马德森: 完全. Another thing to watch for with infection, there are cases you may have heard of flesh-eating bacteria. 这听起来很可怕. But there are cases of really serious infections that you need to get to an ER as quickly as possible. And these are infections usually in people who may have some immune system problems, 也许他们有糖尿病, maybe they have cancer where they're on treatment for that.
But these are infections where it's a very, very rapidly spreading infection, 你感到恶心, and you may even push on that area of infection and it feels kind of crunchy, kind of a weird sort of feeling to it like there's air under the skin. This is something that's called necrotizing fasciitis, and this is something where you need to get to an ER as quickly as possible, as that it's the sort of thing that often requires surgery. It's rare, but we see it, something that's worth mentioning with a rapidly spreading infection. So infections, something that may seem simple, but it's not something to mess around with.
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