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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
Buy the full version of these notes or essay plans and more in our General and Vascular Surgery Notes.
