Penetrating nontorso trauma: the extremities

Ball, Chad G.

doi:10.1503/cjs.005815

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Tourniquets Are Your Friend—when Properly Applied1

Vascular Damage Control Surgical Techniques1

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2015

2022

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Cited by 5 publications

(2 citation statements)

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“…Liberal use of plain film radiography is encouraged, and wound markers should be used to delineate penetrating wounds. It should be noted that palpable pulses in the affected extremity do not exclude a vascular injury [ 11 , 12 ].…”

Section: Tourniquets Are Your Friend—when Properly Appliedmentioning

confidence: 99%

Stopping extremity hemorrhage: More than just a tourniquet

Parry

2022

Surgery Open Science

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Major extremity hemorrhage is a surgical emergency, and the physical examination is essential to help dictate appropriate clinical decision making. Hard signs that require immediate surgical intervention include ongoing bleeding, expanding hematoma, ischemic limb, as well as partial/complete amputation. Packing, compression, balloon tamponade, and tourniquets are very helpful to temporize major hemorrhage. Mangled extremities are very challenging to manage and require a multidisciplinary approach. Temporary vascular shunts are excellent tools for vascular/orthopedic damage control and for temporary stabilization prior to transport for definitive care.

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Section: Tourniquets Are Your Friend—when Properly Appliedmentioning

confidence: 99%

Stopping extremity hemorrhage: More than just a tourniquet

Parry

2022

Surgery Open Science

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“…Modern indications for this damage control technique are limited because routine methods for controlling hemorrhage, such as direct pressure or tourniquets, are typically successful [35]. Accepted indications for catheter tamponade therefore include: inaccessible (or difficult to access) major vascular injuries, large cardiac injuries, and deep solid organ parenchymal hemorrhage (liver and lung) [21,34,36 & ].…”

Section: Vascular Damage Control Surgical Techniquesmentioning

confidence: 99%