Hemostatic Matrix (FloSeal) as Treatment for Urethral Crush Injury After Failure of Traditional Hemostatic Technique.
We report a case of traumatic arterial hemorrhage from the posterior urethral artery, refractory to traditional hemostatic technique, and successfully managed with intraurethral thrombin hemostatic matrix (FloSeal [Baxter Healthcare Corporation, Deerfield, Illinois, US]). We believe that this demonstrates a safe, effective therapy for urethral hemorrhage that may be accomplished by Emergency Physicians and may preclude the need for more invasive hemorrhage control strategies.
Virginia Tech Carilion Emergency Medicine Residency Program, Roanoke, VA. Electronic address: brpark@carilionclinic.org.
Barrett R
BR
Park
Department of Emergency Medicine, Virginia Tech Carilion Clinic School of Medicine, Roanoke, VA.
Damon R
DR
Kuehl
D000071576:Crush Injuries / Q000628:therapy*; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D014521:Urethra / Q000098:blood supply / Q000293:injuries*; D055815:Young Adult
C411004:FloSeal Matrix