{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:16Z","timestamp":1783509256251,"version":"3.55.0"},"reference-count":24,"publisher":"MDPI AG","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Emergency department visits for lower extremity complications of diabetes are extremely common throughout the world. Surprisingly, recent data suggest that such visits generate an 81.2% hospital admission rate with an annual bill of at least $1.2 billion in the United States alone. The likelihood of amputation and other subsequent adverse outcomes is strongly associated with three factors: 1) wound severity (degree of tissue loss), 2) ischemia, and 3) foot infection. Using these factors, this article outlines the basic principles needed to create an evidence-based, rapid foot assessment for diabetic foot ulcers presenting to the emergency department, and suggests the establishment of a \u201chot foot line\u201d for an organized, expeditious response from limb salvage team members. We present a nearly immediate assessment and referral system for patients with atraumatic tissue loss below the knee that has the potential to vastly expedite lower extremity triage in the emergency room setting through greater collaboration and organization.<\/jats:p>","DOI":"10.7547\/17-204","type":"journal-article","created":{"date-parts":[[2019,5,28]],"date-time":"2019-05-28T10:52:34Z","timestamp":1559040754000},"page":"174-179","source":"Crossref","is-referenced-by-count":4,"title":["How to Create a Hot Foot Line to Prevent Diabetes-Related Amputations: Instant Triage for Emergency Department and Inpatient Consultations"],"prefix":"10.3390","volume":"109","author":[{"given":"John D.","family":"Miller","sequence":"first","affiliation":[{"name":"Southwestern Academic Limb Salvage Alliance (SALSA) Department of Surgery, Section of Vascular Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J.","family":"Lew","sequence":"additional","affiliation":[{"name":"Center for the High-Risk Lower Extremity, University of New Mexico College of Medicine, Albuquerque, NM."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A.","family":"Giovinco","sequence":"additional","affiliation":[{"name":"Southwestern Academic Limb Salvage Alliance (SALSA) Department of Surgery, Section of Vascular Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Ochoa","sequence":"additional","affiliation":[{"name":"Southwestern Academic Limb Salvage Alliance (SALSA) Department of Surgery, Section of Vascular Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent L.","family":"Rowe","sequence":"additional","affiliation":[{"name":"Southwestern Academic Limb Salvage Alliance (SALSA) Department of Surgery, Section of Vascular Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo C.","family":"Clavijo","sequence":"additional","affiliation":[{"name":"Southwestern Academic Limb Salvage Alliance (SALSA) Department of Surgery, Section of Vascular Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Weaver","sequence":"additional","affiliation":[{"name":"Southwestern Academic Limb Salvage Alliance (SALSA) Department of Surgery, Section of Vascular Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Southwestern Academic Limb Salvage Alliance (SALSA) Department of Surgery, Section of Vascular Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-109-2-174-b01","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"2367","DOI":"10.1056\/NEJMra1615439","article-title":"Diabetic foot ulcers and their recurrence","volume":"376","author":"Armstrong \n              DG,","year":"2017","unstructured":"Armstrong \n              DG, \n            \n            \n              Boulton \n              AJM, \n            \n            \n              Bus \n              SA: \n            \n          \n          Diabetic foot ulcers and their recurrence. 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