Prehospital and disaster medicine · 2022
Pressure Points Technique for Traumatic Proximal Axillary Artery Hemorrhage: A Case Report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Avital Guy, Greenberger Chaim, Kedar Asaf, Pikman-Gavriely Regina, Bez Maxim, Almog Ofer, Benov Avi
Аннотация
INTRODUCTION: While the pressure points technique for proximal hemorrhage control is long known, it is not recommended in standard prehospital guidelines based on a study showing the inability to maintain occlusion for over two minutes.
MAIN SYMPTOM: This report details a gunshot wound to the left axillary area with complete transection of the axillary artery, leading to profuse junctional hemorrhage and profound hemorrhagic shock.
THERAPEUTIC INTERVENTION: Proximal pressure of the subclavian artery was applied against the first rib (the pressure points technique) and maintained for 28 minutes.
OUTCOMES: Cessation of apparent bleeding and excellent, enduring physiologic response to blood transfusion were observed.
CONCLUSION: The pressure points technique can be life-saving in junctional arterial hemorrhage and should be reconsidered in prehospital guidelines.
MAIN SYMPTOM: This report details a gunshot wound to the left axillary area with complete transection of the axillary artery, leading to profuse junctional hemorrhage and profound hemorrhagic shock.
THERAPEUTIC INTERVENTION: Proximal pressure of the subclavian artery was applied against the first rib (the pressure points technique) and maintained for 28 minutes.
OUTCOMES: Cessation of apparent bleeding and excellent, enduring physiologic response to blood transfusion were observed.
CONCLUSION: The pressure points technique can be life-saving in junctional arterial hemorrhage and should be reconsidered in prehospital guidelines.