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Background: The term necrotizing soft tissue infection encompassing simple pyoderma to life threatening infection, varying with regards to anatomical location, tissue involvement and offending organism. Early diagnosis of necrotizing-STI is important for timely surgical intervention, but physical findings can vary, so misdiagnosis is common. By using WBC, CRP, haemoglobin, Na, creatinine, glucose and clinical examination we can distinguish NF from other STI.Methods: This was a retrospective and randomized study in the Geetanjali Medical College and Hospital affiliated to Geetanjali University from January 2017 to January 2019 during this period total 66 patients with soft tissue Infection were admitted and included. Clinical details and investigations were recorded from the case sheet and were analyzed with WBC, CRP, Hb, Na, creatinine and glucose.Results: The most commonly affected age group was 46-60 years with male preponderance. Most common cause of STI was Trauma 66.66% of the patients having Primary Site Lower Limb in 12.12%  and as per LRINEC score 50% of the patients have low risk, 37.87% of the patients have high risk and strongly in favour of NF and 12.12% of the patients have intermediate risk.Conclusions: The LRINEC score is a good tool for NF risk stratification and patients are advised to be careful for presence of NF if LRINEC score is≥6.

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Background: Thoracic injuries account for a substantial proportion of all injury-related admissions, morbidity and mortality in all tertiary health care centres. The study was conducted to do comprehensive study of chest trauma at a tertiary health care centre.Methods: In this retrospective study we included all polytrauma patients with chest trauma admitted to Geetanjali medical college and hospital, Udaipur for a period of 2 years, from January 2017 until January 2019. Clinical details of the patients were recorded from their case sheets and were analyzed with reference to their age, sex, mode of injury, type of injury, severity of injury, treatment modalities, complications and final outcome.Results: Prevalence of chest trauma was 16.61% out of total cases of polytrauma. Males were predominantly involved (79.61%). Majority were in the age group of 21-30 years. Road traffic accidents (RTA) was the most common mode of injury (68.93%). A total of 53.40% patients required inter costal tube drainage (ICTD). About 17.47% of patients developed complications during treatment in the hospital.Conclusions: Chest trauma occurs in a significant number of polytrauma patients and majority of victims are males of 21-30 years of age. Majority of these patients were treatable with simple procedures like tube thoracostomy or ICU based treatment.