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European Journal of Trauma and Emergency Surgery

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19-01-2023 | Vessel Injury | Original Article

Emergency approach to the femoral artery

Authors: Peter Grechenig, Ulrike Wittig, Theresa di Vora, Walter Prager, Gloria Hohenberger

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2023

Abstract

Purpose

The purpose of this study was to evaluate the applicability and potentially associated harms of emergency access to the femoral artery and vein in a sample of physicians working together in the emergency department of a level I trauma center. In addition, to investigate whether there are differences between participants in terms of different levels of training.

Methods

A sample of 36 orthopedic trauma and anesthesiology assistant doctors, specialists, and senior physician was recruited from the emergency room management at a level I trauma center in Graz, Austria. Emergency approach to the femoral vessels was performed on 33 fresh cadavers. Attention was paid to time, successful clamping of the vessels, self-assessment and learning curve.

Results

The approach was performed correctly in 97.2% (35/36) of all cases. 97.2% of all participants (35/36) were confident to perform the emergency access. They were proven right, since especially the resident and senior subgroups achieved satisfactory results concerning the correct performance of the approach to the femoral vessels as well as correct identification of the femoral artery and vein.

Conclusion

In conclusion, we evaluated the emergency access to the femoral artery (FA) and femoral vein (FV) as an easily teachable procedure including high success rates (correct performance in 97.2%).

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Title: Emergency approach to the femoral artery
Authors: Peter Grechenig
Ulrike Wittig
Theresa di Vora
Walter Prager
Gloria Hohenberger
Publication date: 19-01-2023
Publisher: Springer Berlin Heidelberg
Keywords: Vessel Injury
Incision
Published in: European Journal of Trauma and Emergency Surgery / Issue 3/2023
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-022-02211-7

At a glance: The STEP trials

Springer Medicine

Emergency approach to the femoral artery

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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