Raising Questions About The Treatment Of MRSA In Hospitals

David G. Armstrong DPM PhD MD
6/16/09 | 2161 reads | 0 comments
I am fascinated at the current nationwide trend we see in our hospitals toward precautions for methicillin resistant Staphylococcus aureus (MRSA). Much of this trend in the United States has been sparked by last year's “present on admission” criteria from the Centers for Medicaid and Medicare Services (CMS) that limited reimbursement for the increased complexity of treating these patients if the infection was not “present on admission.” Read More.

Does Your Hospital Have A DRRAFT?

David G. Armstrong DPM PhD MD
5/20/09 | 2046 reads | 0 comments
In the ongoing collaboration between the Infectious Diseases Society of America (IDSA) (www.IDsociety.org/) and the Southern Arizona Limb Salvage Alliance (SALSA) (www.DiabeticFootOnline.com/), we have proposed the following key skill set for any multidisciplinary team dedicated to amputation prevention. We refer to this team as the Diabetic Rapid Response Acute Foot Team (DRRAFT). Here are the key skills for such a team. Read More.

Modified SALSAstand Fixation/Offloading For TMAs And Fragile Flaps

David G. Armstrong DPM PhD MD
4/10/09 | 2406 reads | 0 comments
Many clinicians have offered means of offloading the posterior diabetic foot both with and without internal fixation. We offer a modification of a post technique described by Saul Trevino, MD. In this modified technique, we reinforce the posts with a posterior distal to proximal anterior hypotenuse, using the Hoffman II Modular Fixation System (Stryker Orthopaedics) in a patient with end-stage renal disease and a gangrenous forefoot. We were able to correct the patient’s equinovarus position with an Achilles tendon lengthening and external fixation. We believe this aggressive stabili Read More.