{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T04:33:37Z","timestamp":1791261217466,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,6,28]],"date-time":"2008-06-28T00:00:00Z","timestamp":1214611200000},"content-version":"vor","delay-in-days":819,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p> <jats:bold>Objectives:<\/jats:bold> To evaluate the effect of diagnostic soft\u2010tissue ultrasound (US) on management of emergency department (ED) patients with clinical cellulitis.<\/jats:p><jats:p> <jats:bold>Methods:<\/jats:bold> This was a prospective observational study in an urban ED of adult patients with clinical soft\u2010tissue infection without obvious abscess. The treating physician's pretest opinions regarding the need for further drainage procedures and the probability of subcutaneous fluid collection were determined. Emergency sonologists then performed US of the infected area, and the effect on management plan was recorded.<\/jats:p><jats:p> <jats:bold>Results:<\/jats:bold> Ultrasound changed the management of patients with cellulitis in 71\/126 (56%) of cases. In the pretest group that was believed <jats:italic>not<\/jats:italic> to need further drainage, US changed the management in 39\/82 (48%), with 33 receiving drainage and 6 receiving further diagnostics or consultation. In the pretest group in which further drainage was believed to be needed, US changed the management in 32\/44 (73%), including 16 in whom drainage was eliminated and 16 who had further diagnostic interventions. US had a management effect in all pretest probabilities for fluid from 10% to 90%.<\/jats:p><jats:p> <jats:bold>Conclusions:<\/jats:bold> Soft\u2010tissue US changes physician management in approximately half of patients in the ED with clinical cellulitis. US may guide management of cellulitis by detection of occult abscess, prevention of invasive procedures, and guidance for further imaging or consultation.<\/jats:p>","DOI":"10.1197\/j.aem.2005.11.074","type":"journal-article","created":{"date-parts":[[2006,3,11]],"date-time":"2006-03-11T02:14:28Z","timestamp":1142043268000},"page":"384-388","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":80,"title":["The Effect of Soft\u2010tissue Ultrasound on the Management of Cellulitis in the Emergency Department"],"prefix":"10.1111","volume":"13","author":[{"given":"Vivek S.","family":"Tayal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nael","family":"Hasan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. James","family":"Norton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian A.","family":"Tomaszewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,6,28]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"1949","volume-title":"Rosen's Emergency Medicine: Concepts and Clinical Practice","author":"Meislen HW","year":"2002"},{"key":"e_1_2_1_3_1","first-page":"717","volume-title":"Clinical Procedures in Emergency Medicine","author":"Butler KH","year":"2004"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2000.19.11.743"},{"key":"e_1_2_1_5_1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/S0033-8389(22)00971-X","article-title":"Ultrasound of soft tissue abnormalities of the extremities.","volume":"26","author":"Vincent L","year":"1988","journal-title":"Radiol Clin North Am."},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.19.6.g99no061585"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2005.01.016"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-8389(05)70122-6"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-8389(05)70278-5"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp031807"},{"key":"e_1_2_1_11_1","first-page":"S99","article-title":"Ultrasonographic evaluation of soft tissue infections in emergency department patients [abstract].","volume":"38","author":"Fly CA","year":"2001","journal-title":"Ann Emerg Med."},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2004.04.001"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2001.tb02122.x"},{"key":"e_1_2_1_14_1","first-page":"493","article-title":"Utility of ultrasonography on emergency department of suspected cutaneous abscess [abstract].","volume":"7","author":"Page\u2010Wills C","year":"2000","journal-title":"Acad Emerg Med."},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2005.tb01485.x"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1197\/aemj.9.12.1448"}],"container-title":["Academic Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1197%2Fj.aem.2005.11.074","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1197\/j.aem.2005.11.074","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T15:48:34Z","timestamp":1695656914000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1197\/j.aem.2005.11.074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,4]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2006,4]]}},"alternative-id":["10.1197\/j.aem.2005.11.074"],"URL":"https:\/\/doi.org\/10.1197\/j.aem.2005.11.074","archive":["Portico"],"relation":{},"ISSN":["1069-6563","1553-2712"],"issn-type":[{"value":"1069-6563","type":"print"},{"value":"1553-2712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,4]]},"assertion":[{"value":"2008-06-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}