Vascular injury

Vascular injury

WikiDoc Resources for Vascular injury
Articles
Most recent articles on Vascular injury Most cited articles on Vascular injury Review articles on Vascular injury Articles on Vascular injury in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Vascular injury Images of Vascular injury Photos of Vascular injury Podcasts & MP3s on Vascular injury Videos on Vascular injury
Evidence Based Medicine
Cochrane Collaboration on Vascular injury Bandolier on Vascular injury TRIP on Vascular injury
Clinical Trials
Ongoing Trials on Vascular injury at Clinical Trials.gov Trial results on Vascular injury Clinical Trials on Vascular injury at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Vascular injury NICE Guidance on Vascular injury NHS PRODIGY Guidance FDA on Vascular injury CDC on Vascular injury
Books
Books on Vascular injury
News
Vascular injury in the news Be alerted to news on Vascular injury News trends on Vascular injury
Commentary
Blogs on Vascular injury
Definitions
Definitions of Vascular injury
Patient Resources / Community
Patient resources on Vascular injury Discussion groups on Vascular injury Patient Handouts on Vascular injury Directions to Hospitals Treating Vascular injury Risk calculators and risk factors for Vascular injury
Healthcare Provider Resources
Symptoms of Vascular injury Causes & Risk Factors for Vascular injury Diagnostic studies for Vascular injury Treatment of Vascular injury
Continuing Medical Education (CME)
CME Programs on Vascular injury
International
Vascular injury en Espanol Vascular injury en Francais
Business
Vascular injury in the Marketplace Patents on Vascular injury
Experimental / Informatics
List of terms related to Vascular injury

Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [1] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.

• Hard signs of vascular injury: expanding hematoma, bruit, thrill, active bleeding, severely ischemic extremity.
• Soft signs of vascular injury: proximity of wound to major vessels, hx of hemorrhage/shock, non-expanding hematoma, diminished pulse and anatomically related nerve injury.
• Prep contralateral saphenous vein in field, direct pressure (DP) to control bleeding (tourniquet only if DP fails).
• Duplex scan when available.
• Observe for evidence of compartment syndrome, change in vascular status. Ensure at least one follow-up vascular examination is performed.
• Injured extremity to non-injured extremity systolic Doppler pressure ratio:

• With the patient supine (for at least 10 minutes prior), take blood pressures (B/P) in both arms. Use the higher systolic pressure as the brachial pressure in the ratio.
• Place the B/P cuff on the patient’s leg just above the maleoli, and the Doppler probe at 45 degrees to the dorsal pedis or posterior tibial artery.
• Inflate the cuff until the Doppler signal stops. Slowly deflate the cuff until the signal returns and record the numbers as the ankle systolic pressure.
• To get the ABI ratio, divide the highest ankle pressure by the highest brachial pressure. For example, with systolic brachial pressures of 120 and 129 and an ankle systolic of 65, the ABI is 0.5. Perform on both right and left extremities. Farther from the heart, leg pressure is supposed to be higher than or at least equal to arm pressure. Interpret your ABI results based on these guidelines:

• 0.9: Normal
• 0.5 to 0.9: Claudication mild to moderate
• < 0.5: Resting ischemic pain, claudication
• < 0.2: Gangrenous extremity; suggests near total occlusion

Template:SIB