supraclavicular injury

axillary artery

brachial artery

popliteal artery

tibial artery

1-compression at the site of injury

put catheter if threre is track made by stab

angioraphy used do proximal closure by inserting ballon and inflation

prior to control of aemorrhage give minimal fluid but no too much thus it incrase bleeding and clearance of already formed clots

after control of haemorrhage give massive amounta of resrusitation and coagulation factors ...erc

fix bone first if limb not threatend

vascular problem is first if limb is threatend

PRINCIPAL OF VASCULAR REPAIR

LACERATION

transection

contusion and thrombosis

pulse oximeter

duplex ultrasound

angiography

active bleeding

thrill and bruit

extesive pulsating hematoma

signs of ischemia

stable non-pulsatileor small hematoma

shock or hypotension

injury to neurovascular bundle

Laceration

transection partial

compelet transection

contusion

psaudoaneurysm

arteriovenous fistula

intimal flap