• Emerg. Med. Clin. North Am. · Feb 2018

    Review

    Management of Major Vascular Injuries: Neck, Extremities, and Other Things that Bleed.

    • Chris Evans, Tim Chaplin, and David Zelt.
    • Trauma Services, Department of Emergency Medicine, Kingston General Hospital, Queen's University, Kingston, Ontario K7L 2V7, Canada. Electronic address: c.evans@queensu.ca.
    • Emerg. Med. Clin. North Am. 2018 Feb 1; 36 (1): 181-202.

    AbstractVascular injuries represent a significant burden of mortality and disability. Blunt injuries to the neck vessels can present with signs of stroke either immediately or in a delayed fashion. Most injuries are detected with computed tomography angiography and managed with either antiplatelet medications or anticoagulation. In contrast, patients with penetrating injuries to the neck vessels require airway management, hemorrhage control, and damage control resuscitation before surgical repair. The keys to diagnosis and management of peripheral vascular injury include early recognition of the injury; hemorrhage control with direct pressure, packing, or tourniquets; and urgent surgical consultation.Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

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