Unsuspected vascular trauma: blunt arterial injuries.
Blunt arterial injury provides a tremendous challenge to the emergency physician and traumatologist. The overall incidence of these injuries, even with more modern and aggressive screening, is low. Often, they are clinically occult on initial presentation, and untreated, they frequently result in devastating consequences. Great potential exists, however, for averting these deadly consequences by recognizing patterns of injury, prompting expedient diagnosis by rapidly obtaining the appropriate diagnostic study and providing opportunity for specific therapy under the direction of the trauma surgeon.
Baker
William E
WE
Department of Emergency Medicine, Boston University School of Medicine, Boston, MA 02118, USA. wbaker@bu.edu
Wassermann
Jonathan
J
D000792:Angiography; D000925:Anticoagulants / Q000627:therapeutic use; D001013:Aorta, Thoracic / Q000293:injuries; D001158:Arteries / Q000293:injuries*; D001696:Biomechanical Phenomena; D019917:Blood Vessel Prosthesis Implantation; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000628:therapy; D003937:Diagnosis, Differential; D004635:Emergency Medicine / Q000379:methods*; D004638:Emergency Treatment / Q000379:methods*; D005263:Femoral Artery / Q000293:injuries; D006801:Humans; D007083:Iliac Artery / Q000293:injuries; D015994:Incidence; D008403:Mass Screening; D011379:Prognosis; D012307:Risk Factors; D012680:Sensitivity and Specificity; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014481:United States / Q000453:epidemiology; D014711:Vertebral Artery / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*
D000925:Anticoagulants