Stopping extremity hemorrhage: More than just a tourniquet
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 amputat...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-01-01
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| Series: | Surgery Open Science |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589845021000257 |
| _version_ | 1831664225786789888 |
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| author | Neil G. Parry, MD FRCSC FACS |
| author_facet | Neil G. Parry, MD FRCSC FACS |
| author_sort | Neil G. Parry, MD FRCSC FACS |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T19:11:39Z |
| format | Article |
| id | doaj.art-f8637e498d37401292491b6697e17f7a |
| institution | Directory Open Access Journal |
| issn | 2589-8450 |
| language | English |
| last_indexed | 2024-12-19T19:11:39Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery Open Science |
| spelling | doaj.art-f8637e498d37401292491b6697e17f7a2022-12-21T20:09:17ZengElsevierSurgery Open Science2589-84502022-01-0174245Stopping extremity hemorrhage: More than just a tourniquetNeil G. Parry, MD FRCSC FACS0Room E2-217 Victoria Hospital, London Health Sciences Centre, 800 Commissioners Rd E, London, Ontario, Canada N6A 5W9.; Professor of Surgery and Critical Care Medicine, Departments of Surgery and Medicine, Schulich School of Medicine and Dentistry, Western University, London, OntarioMajor 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.http://www.sciencedirect.com/science/article/pii/S2589845021000257 |
| spellingShingle | Neil G. Parry, MD FRCSC FACS Stopping extremity hemorrhage: More than just a tourniquet Surgery Open Science |
| title | Stopping extremity hemorrhage: More than just a tourniquet |
| title_full | Stopping extremity hemorrhage: More than just a tourniquet |
| title_fullStr | Stopping extremity hemorrhage: More than just a tourniquet |
| title_full_unstemmed | Stopping extremity hemorrhage: More than just a tourniquet |
| title_short | Stopping extremity hemorrhage: More than just a tourniquet |
| title_sort | stopping extremity hemorrhage more than just a tourniquet |
| url | http://www.sciencedirect.com/science/article/pii/S2589845021000257 |
| work_keys_str_mv | AT neilgparrymdfrcscfacs stoppingextremityhemorrhagemorethanjustatourniquet |