![]() ![]() sciatic, femoral, median, ulna or radial) Proximity of injury to vascular structures.Signs of limb ischemia/ compartment syndrome (the 6 Ps).Pulses and APIs may be difficult to assess in the obese, shocked, hypothermic or those with pre-existing peripheral vascular disease.Angiography can be performed only if the patient is hemodynamically stable.Cold, pale and pulseless distal extremity or a rapidly expanding hematoma suggests arterial compromise - look for ‘hard signs’and ‘soft signs’.arterial injury due to associated fracture) stab or gunshot) or severe blunt trauma (e.g. complete transections with hemorrhage or occlusion.complete wall defects with pseudoaneurysms or hemorrhage.flaps, disruptions, or subintimal/intramural hematomas) There are 5 major types of arterial injury: They may be threatening due to exsanguination, result in multi-organ failure due to near exsanguination or be limb threatening due to ischemia and associated injuries.Extremity arterial injuries may be the result of blunt or penetrating trauma.50% to 60% of injuries occur in the femoral or popliteal arteries.The extremities are the most common sites of arterial injuries in the civilian setting. ![]()
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