Podcast #34: Hard Signs for Vascular Injury - The Emergency Medical Minute

Podcast #34: Hard Signs for Vascular Injury

VscularinjuryRun Time: 1 minute

Author: Dr. Nicholas Hatch

Educational Pearls:

  • Hard signs of vascular injury include: loss of pulses, severe arterial bleeding, active uncontrolled hemorrhaging, rapidly expanding pulsatile hematoma, and palpable thrill or bruit.
  • Patient with these signs and suspected injury needs to be moved to the operating room ASAP.
  • Soft signs of vascular injury include: uncontrolled venous oozing, diminished asymmetric pulses, and a hematoma that is getting bigger but not rapid expanding.
  • CTA is 100% sensitivity for vascular injury in a patient with soft signs.

References:  http://pubs.rsna.org/doi/full/10.1148/rg.25si055511


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