RT Journal
A1 Christy MR, Shridharani SM
T1 APpearance of a rapidly expanding facial eschar in a severely injured trauma patient
JF JAMA
JO JAMA
YR 2012
FD March 14
VO 307
IS 10
SP 1080
OP 1081
DO 10.1001/jama.2012.288
UL http://dx.doi.org/10.1001/jama.2012.288
AB 
A 21-year-old woman presents to the trauma resuscitation unit via helicopter transport following a motor vehicle crash. She was an unrestrained driver involved in a front-end collision and had a prolonged extrication from the vehicle. At the scene, she was unresponsive and underwent emergency intubation. She sustained multiple severe traumatic injuries including a ruptured spleen requiring abdominal exploration and splenectomy, atlanto-occipital dislocation requiring halo placement, bilateral pelvic fractures requiring pelvic binder, and left lower extremity crush injury with multiple open fractures ultimately requiring a left hemipelvectomy. She underwent 38 operative interventions in a 3-week period.