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Necrotizing fasciitis • Emergency and life threatening with high mortality rate • Possible underlying disease: DM, alcoholism, malnutrition, renal and CV diseases • Septic shock, possible under resuscitated A→ full stomach → RSI B→ ARDS, respiratory failure, pul edema C→ septic shock with ↓ SVR, ↑ CO M→ lactic acidosis, lytes abnormalities R→ ARF CNS → ↓ LOC • Lab and Mx as septic shock • Post-op → ICU