• Peter Grechenig, Ulrike Wittig, Theresa di Vora, Walter Prager, and Gloria Hohenberger.
• Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria. peter.grechenig@gmx.net.
• Eur J Trauma Emerg Surg. 2023 Jun 1; 49 (3): 133713411337-1341.

PurposeThe purpose of this study was to evaluate the applicability and potentially associated harms of emergency access to the femoral artery and vein in a sample of physicians working together in the emergency department of a level I trauma center. In addition, to investigate whether there are differences between participants in terms of different levels of training.MethodsA sample of 36 orthopedic trauma and anesthesiology assistant doctors, specialists, and senior physician was recruited from the emergency room management at a level I trauma center in Graz, Austria. Emergency approach to the femoral vessels was performed on 33 fresh cadavers. Attention was paid to time, successful clamping of the vessels, self-assessment and learning curve.ResultsThe approach was performed correctly in 97.2% (35/36) of all cases. 97.2% of all participants (35/36) were confident to perform the emergency access. They were proven right, since especially the resident and senior subgroups achieved satisfactory results concerning the correct performance of the approach to the femoral vessels as well as correct identification of the femoral artery and vein.ConclusionIn conclusion, we evaluated the emergency access to the femoral artery (FA) and femoral vein (FV) as an easily teachable procedure including high success rates (correct performance in 97.2%).© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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