• Am J Emerg Med · May 2023

    Case Reports

    Bottle it up: Prehospital management of an AV fistula bleed using a bottle cap: A case report.

    • Rebecca Greenstein, Philip Nawrocki, and Chadd Nesbit.
    • Department of Emergency Medicine, Allegheny General Hospital, Pittsburgh, PA, United States of America. Electronic address: greensteinr@ahn-emp.com.
    • Am J Emerg Med. 2023 May 1; 67: 197.e1197.e2197.e1-197.e2.

    AbstractHemorrhage from arteriovenous fistula sites is a known complication with potentially fatal consequences. The management of AV fistula hemorrhage has historically included direct pressure, tourniquet use, and/or surgical management. We describe a case of a 71-year-old female with hemorrhage from an AV fistula site that was successfully managed in the prehospital setting using a simple bottle cap.Copyright © 2023 Elsevier Inc. All rights reserved.

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