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Vascular Emergencies Notes

Medicine Notes > General and Vascular Surgery Notes

This is an extract of our Vascular Emergencies document, which we sell as part of our General and Vascular Surgery Notes collection written by the top tier of University Of Leicester students.

The following is a more accessble plain text extract of the PDF sample above, taken from our General and Vascular Surgery Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Vascular Emergencies Trauma
- Penetrating wounds
- Blunt trauma
- Invasive procedures (iatrogenic) Hard signs (diagnostic)
- External pulsatile bleeding
- Palpable bruit/thrill
- Expansive haematoma
- Ischaemic limb
- Fracture/dislocation

Need immediate surgery

Soft signs (suggestive of vascular injury but not diagnostic)
- History of blood loss at the scene
- Proximity of injury to major vessel o Supracondylar and tibial fracture, posterior knee dislocation
- Small non-pulsatile haematoma
- Neurogenic deficit

Time for further assessment inc. imaging

Management
- IV access (two large bore cannulae) (in contralateral limb - preserve cephalic and saphrenous veins)
- Fluid resuscitation
- Surgical exploration and repair o Prevent further haemorrhage + salvage ischaemic limb

Chest vascular traumaBlunt trauma Pneumothorax/tamponade CT scan to assess o Most common injury = rupture of descending aorta o Treatment = stent graft

Retroperitoneal bleedPelvic fracture Surgery in pelvis Spontaneous (warfarin) Following angiography

Clinical signs
- Hypotension, low Hb post procedure Management
- Fluids and surgical repair

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