I have a 46 yo gentlemen on my floor right now who is diabetic. He had a pedicure about 2 weeks ago. He came into the ED about 2 weeks ago and was placed on antibiotics and then followed up with the wound clinic. They admitted him to my floor because his wound was so bad.
Yesterday I took a look at his foot as his primary nurse was doing his dressing change. He has a large triangle of flesh gone from the top of his foot and you can see the tendons. All the areas around the wound are blanched white as are his toes. It appears that this skin is not attached to anything. Some blanching to the bottom of his foot. The surgeon did a debrib earlier the week and he is going to need another. He has ESBL. He is going to need a skin graft to close.
I am just very worried about him. I have a feeling that he is going to lose his foot. I need some feedback from some wound care nurses or OR nurses. What do you think his chances are?