vascular trauma

Question 1

blunt aortic injury happens

Answer 1

after high energy impact, results in a widened

mediastinum, always thoracic

Question 2

Blunt aortic injury happens at

Answer 2

• ligamentum arteriosum

- severity variable

Question 3

standard of care for blunt aortic injury

Answer 3

endovascular repair

Question 4

hard signs of arterial bleeding

Answer 4

• pulsatile bleeding
• absent distal pulse
• ischemic limb
• expanding hematoma/shock

Question 5

which injuries are known to be associated with vascular injuries

Answer 5

elbow dislocations - brachial artery
knee dislocation - posterior - pop
prox tib/fib or humerus - injuries to tibial or brachial

Question 6

knee dislocations really associated with

Answer 6

arterial injuries - popliteal

Question 7

in a bypass or posterior knee dislocation you take the vein

Answer 7

from the OTHER LEG

Question 8

which injuries are an exception and require imaging

Answer 8

shot gun injuries

Question 9

ABI

Answer 9

get a CT

Question 10

Bypass for PAD you use the vein

Answer 10

from the same leg, in trauma it’s the opposite leg

Question 11

patients with compartment syndrome will complain of pain

Answer 11

when the foot is flexed