{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:45:49Z","timestamp":1777934749500,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>A 57-y-old sailor (Patient S) with a history of chronic lymphocytic leukemia departed from Hawaii on his sailboat. On the morning of his departure, he sustained a small laceration to his right foot while walking on the beach. During the next 1\u20132 d, this laceration became superficially infected. Four days after setting sail, a rogue wave hit the boat in bad weather, splitting the mainsail and damaging the ship's communication equipment. Over the next 3 d, Patient S experienced worsening of his wound infection to the point that by Day 7, when George Washington Maritime Medical Access was contacted to initiate medical management, Patient S had developed a full-fledged necrotizing fasciitis in his right lower extremity. Despite attempts to treat the infection while at sea, Patient S eventually required a complex medical evacuation from the middle of the Pacific Ocean.<\/jats:p>","DOI":"10.1177\/10806032251321469","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T12:23:07Z","timestamp":1743510187000},"page":"284-292","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Fasciitis in a Mariner on a Disabled Sailboat in the Middle of the Pacific"],"prefix":"10.1177","volume":"36","author":[{"given":"Catherine V.","family":"Levitt","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, George Washington University School of Medicine, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Larsen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, George Washington University School of Medicine, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John E.","family":"Lafleur","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, George Washington University School of Medicine, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268805003894"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2023.06.013"},{"key":"e_1_3_2_4_2","article-title":"The epidemiology of maritime patients requiring medical evacuation: a literature review","author":"Dillard JS","unstructured":"Dillard JS, Maynard W, Kashyap R. The epidemiology of maritime patients requiring medical evacuation: a literature review. Cureus. 2023;15(11):e49606.","journal-title":"Cureus"},{"key":"e_1_3_2_5_2","article-title":"Details From Medical Evacuation of Pacific Cup Captain.","volume":"38","author":"Moradzadeh M","unstructured":"Moradzadeh M. Details From Medical Evacuation of Pacific Cup Captain. Latitude38. Published online August 2022. Accessed May 1, 2024. https:\/\/www.latitude38.com\/lectronic\/details-medical-evacuation-pacific-cup-captain\/","journal-title":"Latitude"},{"key":"e_1_3_2_6_2","unstructured":"Roza D. Air Force rescuers just flew hundreds of miles over the Pacific to save a patient on an oil tanker. Task Purpose. Published online August 15 2022. Accessed May 1 2024. https:\/\/taskandpurpose.com\/news\/air-force-pararescue-jumper-mission\/"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2021-000745"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-57616-5_5"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2019.422"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmaid.2013.07.005"},{"key":"e_1_3_2_11_2","doi-asserted-by":"crossref","DOI":"10.5435\/00124635-200600001-00024","article-title":"Treatment of acute infection","volume":"14","author":"Prokuski L","year":"2006","unstructured":"Prokuski L. Treatment of acute infection. J Am Acad Orthop Surg. 2006;14(auppl):S101\u2013S104.","journal-title":"J Am Acad Orthop Surg"},{"key":"e_1_3_2_12_2","unstructured":"Centers for Disease Control and Prevention. Necrotizing Fasciitis. Published online March 1 2024. accessed May 1 2024. https:\/\/www.cdc.gov\/group-a-strep\/about\/necrotizing-fasciitis.html"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1086\/511638"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000129486.35458.7D"},{"issue":"4","key":"e_1_3_2_15_2","article-title":"Wilderness Medical Society practice guidelines for basic wound management in the austere environment: 2014 update","volume":"25","author":"Quinn RH","year":"2014","unstructured":"Quinn RH, Wedmore I, Johnson EL, Islas AA, Anglim A, Zafren K, et al. Wilderness Medical Society practice guidelines for basic wound management in the austere environment: 2014 update. Wilderness Environ Med. 2014;25(suppl 4):S118\u2013S133.","journal-title":"Wilderness Environ Med"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2013.10.007"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032251321469","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032251321469","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032251321469","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:32:22Z","timestamp":1777689142000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032251321469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,31]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1177\/10806032251321469"],"URL":"https:\/\/doi.org\/10.1177\/10806032251321469","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,31]]}}}