Electrolytes - Hyperkalemia can result from cell breakdown. Renal panel - Kidney dysfunction occurs secondary to toxin release. Coagulation panel - Coagulopathy and thrombocytopenia can result. Myoglobin - Myoglobinemia and myoglobinuria can result from cellular breakdown. Radiographs may reveal soft tissue gas within the fascial planes.
Surgical debridement is the definitive treatment.
Oxygenation IV fluids Stabilize patient quickly because the disease may progress rapidly. Resuscitation, supplemental oxygen, and aggressive volume expansion may be indicated. Antibiotics may be administered. Tetanus toxoid and immune globulin may be administered, if indicated. Surgery Surgical consultation ASAP is mandatory.