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Deep Tissue Injuries

Deep tissue injuries (DTI), a term coined by the National Pressure Ulcer Advisory Panel (NPUAP), are a type of pressure ulcer that’s apt to deteriorate and is characterized by bruises on bony prominences. The NPUAP explains that deep tissue injuries are “A pressure-related injury to subcutaneous tissues under intact skin. Initially, these lesions have the appearance of a deep bruise. These lesions may herald the subsequent development of a Stage III-IV pressure ulcer even with optimal treatment.” To determine options for compensation, contact a Toronto deep tissue injury lawyer.

Characteristics of Deep Tissue Injuries

Deep tissue injuries first may appear to be a common bruise or as a pressure sore that develops after a slip and fall accident. They also may form when a patient has spent a length of time on bed rest or in one particular physical position.DTIs were, at one time, referred to in the medical community as malignant lesions, due to the fact that they are progressive and potentially fatal.

Some of the key characteristics of DTIs include:

  • A maroon or purple discoloration of the skin or a blood blister
  • The affected skin may feel different from the surrounding skin, i.e., firmer, painful, or warmer or cooler
  • The wound progresses and a thin blister forms over it
  • Wound may evolve further and become covered by thin eschar (a dry, dark scab or sloughing off of dead skin)
  • Additional layers of tissue may become exposed rapidly – despite optimal treatment

Causes of DTIs

An article in Wound Care Canada by certified wound specialist Cynthia A. Fleck, MBA, BSN, RN explains that there are four understood causes of DTIs:

  • Direct pressure to the skin with resulting ischemia;
  • A muscle injury that causes loss of nutrients to the muscles;
  • Damage to fascia, the membrane that covers organs, bones, muscles, blood vessels and nerves; and
  • Injury to perforated vessels.

Diagnosing DTIs

Diagnosis is quite complicated with DTIs. The Wound Care Canada article describes three ways currently available that may assist in diagnosing DTI:

  • Laser doppler blood flow studies
  • Ultrasound (which shows damaged tissues beneath the skin’s surface)
  • Biopsy (although this form of diagnosis has a low risk-to-benefit ratio)

Misdiagnosis is not uncommon because DTIs may be mistaken for other conditions like bruising, calciphylaxis, hematoma, gangrene and abscesses. Physicians should check patients thoroughly and keep a close eye on any developing large bruises or blisters. Daily skin assessments are recommended.

Condition Caused by Negligence

If your condition was caused by negligence, you might be able to receive compensation for your damages. For instance, if you suffered an injury as a result of a slip and fall on another party’s premises, your damages might be compensable. If your home care attendants, physicians or hospital staff failed to provide you with an appropriate level of care or if you were misdiagnosed, your resulting injuries can be included on a negligence claim. To determine whether or not you are eligible to pursue compensation for your DTI and how to go about filing a claim, contact a deep tissue injury lawyer in Toronto.


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151 Eglinton Ave W,
Toronto, ON
M4R 1A6
Fax: 1-855-364-7027
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4145 N Service Rd
Burlington, ON
L7L 4X6
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2 County Ct Blvd #400,
Brampton, ON
L6W 3W8
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105 Consumers Drive
Whitby, ON
L1N 1C4
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92 Caplan Ave #121,
Barrie, ON
L4N 0Z7
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380 Wellington St Tower B, 6th Floor,
London, ON
N6A 5B5
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2233 Argentia Rd Suite 302,
East Tower Mississauga, ON
L5N 6A6
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1 Hunter St E,
Hamilton, ON
L8N 3W1
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459 George St N,
Peterborough, ON
K9H 3R9
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22 Frederick Street,
Suite 700
Kitchener, ON N2H 6M6
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116 Lisgar Street, Suite 300
Ottawa ON
K2P 0C2
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10 Milner Business Ct #300,
Scarborough, ON
M1B 3C6
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*consultation offices

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