Eur J Plast Surg (2016) 39:163–164 DOI 10.1007/s00238-015-1100-7 LETTER TO THE EDITOR The management of acute peripheral arterial bleeding in emergencies: a plastic surgeon’sperspective 1 1 Metin Nizamoglu & Sharmila Jivan Received: 6 March 2015 /Accepted: 19 April 2015 /Published online: 15 May 2015 Springer-Verlag Berlin Heidelberg 2015 Sir, would apply manual pressure directly over the wound with or Peripheral arterial bleeding following trauma commonly without a dressing. Surprisingly, only 14 mentioned elevation presents to the emergency department. There is currently no of the limb and 7 mentioned application of a tourniquet. Sev- national guideline for achieving haemostasis in the acute set- eral other suggestions were made, such as underrunning the vessel with a suture, applying a surgical clip to the vessel or ting prior to definitive management. As plastic surgeons, we are often referred patients with uncontrolled bleeding in administering a local anaesthetic containing epinephrine. Al- the accident and emergency (A&E) department. We want to though these suggestions can obtain haemostasis, it is prefer- improve management of this condition by proposing simple able to stop bleeding without invasive measures that will po- measures for use in the emergency setting that can be imple- tentially traumatise the vessel further
European Journal of Plastic Surgery – Springer Journals
Published: Apr 1, 2016
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