Run Time: 1 minute
Author: Dr. Nicholas Hatch
- 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.