{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T21:08:37Z","timestamp":1793480917728,"version":"4.5.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T00:00:00Z","timestamp":1518393600000},"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":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:p>The \u201cdiabetic foot attack\u201d is one of the most devastating presentations of diabetic foot disease, typically presenting as an acutely inflamed foot with rapidly progressive skin and tissue necrosis, at times associated with significant systemic symptoms. Without intervention, it may escalate over hours to limb-threatening proportions and poses a high amputation risk. There are only best practice approaches but no international protocols to guide management. Immediate recognition of a typical infected diabetic foot attack, predominated by severe infection, with prompt surgical intervention to debride all infected tissue alongside broad-spectrum antibiotic therapy is vital to ensure both limb and patient survival. Postoperative access to multidisciplinary and advanced wound care therapies is also necessary. More subtle forms exist: these include the ischemic diabetic foot attack and, possibly, in a contemporary categorization, acute Charcot neuroarthropathy. To emphasize the importance of timely action especially in the infected and ischemic diabetic foot attack, we revisit the concept of \u201ctime is tissue\u201d and draw parallels with advances in acute myocardial infarction and stroke care. At the moment, international protocols to guide management of severe diabetic foot presentations do not specifically use the term. However, we believe that it may help increase awareness of the urgent actions required in some situations.<\/jats:p>","DOI":"10.1177\/1534734618755582","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T07:47:28Z","timestamp":1518421648000},"page":"7-13","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":99,"title":["The Diabetic Foot Attack: \u201c\u2019Tis Too Late to Retreat!\u201d"],"prefix":"10.1177","volume":"17","author":[{"given":"Prashanth R. J.","family":"Vas","sequence":"first","affiliation":[{"name":"King\u2019s College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Edmonds","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venu","family":"Kavarthapu","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisham","family":"Rashid","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raju","family":"Ahluwalia","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Pankhurst","sequence":"additional","affiliation":[{"name":"Guys and St. Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Papanas","sequence":"additional","affiliation":[{"name":"Democritus University of Thrace, Alexandroupolis, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,2,12]]},"reference":[{"key":"bibr1-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2002.00698.x"},{"key":"bibr2-1534734618755582","doi-asserted-by":"publisher","DOI":"10.3310\/hta19570"},{"key":"bibr3-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2016.1231932"},{"key":"bibr4-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1615439"},{"key":"bibr5-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.04.006"},{"key":"bibr6-1534734618755582","volume-title":"Prevalence of Diabetes, Diabetic Foot Ulcer, and Lower Extremity Amputation Among Medicare Beneficiaries, 2006 to 2008: Data Points #2","author":"Margolis DJ","year":"2011"},{"key":"bibr7-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2007.00392.x"},{"key":"bibr8-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12404"},{"key":"bibr9-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2704"},{"key":"bibr10-1534734618755582","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2176"},{"key":"bibr11-1534734618755582","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-2625"},{"key":"bibr12-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12146"},{"key":"bibr13-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2007.09.004"},{"key":"bibr14-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2010.03192.x"},{"key":"bibr15-1534734618755582","unstructured":"NHS Digital. National diabetes foot care audit\u20142014-2016. https:\/\/digital.nhs.uk\/catalogue\/PUB23525. Published March 8, 2017. Accessed January 11, 2018."},{"key":"bibr16-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4471-4525-7_16"},{"key":"bibr17-1534734618755582","volume-title":"Putting Feet First. Fast Track for a Foot Attack: Reducing Amputations","author":"Diabetes UK.","year":"2013"},{"key":"bibr18-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2006.00155.x"},{"key":"bibr19-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1177\/1534734609337151"},{"key":"bibr20-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv320"},{"key":"bibr21-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e318284056a"},{"key":"bibr22-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0041492"},{"key":"bibr23-1534734618755582","doi-asserted-by":"publisher","DOI":"10.15277\/bjdvd.2014.012"},{"key":"bibr24-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2008.02445.x"},{"key":"bibr25-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis346"},{"key":"bibr26-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2699"},{"key":"bibr27-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2698"},{"key":"bibr28-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2706"},{"key":"bibr29-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000243"},{"key":"bibr30-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-012-2468-6"},{"key":"bibr31-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2523"},{"key":"bibr32-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8227(00)00157-1"},{"key":"bibr33-1534734618755582","first-page":"646","volume":"63","author":"Miller JD","year":"2014","journal-title":"J Fam Pract"},{"key":"bibr34-1534734618755582","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.17-2-154"},{"key":"bibr35-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00496-9"},{"key":"bibr36-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000114"},{"key":"bibr37-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-006-0232-4"},{"key":"bibr38-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1177\/1534734614548167"},{"key":"bibr39-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2695"},{"key":"bibr40-1534734618755582","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2700"},{"key":"bibr41-1534734618755582","first-page":"160","volume":"3","author":"Uccioli L","year":"2013","journal-title":"Emergency Med"},{"key":"bibr42-1534734618755582","first-page":"133","volume-title":"Dryden: Selected Poems","author":"Dryden J","year":"1988"}],"container-title":["The International Journal of Lower Extremity Wounds"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1534734618755582","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1534734618755582","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1534734618755582","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:08:16Z","timestamp":1777457296000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1534734618755582"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,12]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1177\/1534734618755582"],"URL":"https:\/\/doi.org\/10.1177\/1534734618755582","relation":{},"ISSN":["1534-7346","1552-6941"],"issn-type":[{"value":"1534-7346","type":"print"},{"value":"1552-6941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,12]]}}}