Podcast 605: Acute Limb Ischemia
Show: Emergency Medical Minute
Contributor: Peter Bakes, MD
Educational Pearls:
- Classically presents with the 6Ps: Pain, pallor, paresthesia, pulseless, poikilothermia (cold), and paralysis
- Acute limb ischemia occurs by embolic or thrombotic causes
- Thrombotic causes are now more common due to aging populations and advancements in vascular surgery like stents which can be a nidus for thrombosis.
- Sudden onset of pain without prior symptoms is more typical of embolic causes
- Preceding symptoms leading to acute ischemia are more often from thrombosis
- Diagnosis can be clinical based on absent pulses, ultrasound or CT angiogram
- Definitive treatment includes thrombectomy, stenting, or bypass surgery to restore the blood flow to the distal limb
References
McNally MM, Univers J. Acute Limb Ischemia. Surg Clin North Am. 2018 Oct;98(5):1081-1096. doi: 10.1016/j.suc.2018.05.002. PMID: 30243449.
Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD
More From Current Show
Podcast 1025: Post intubation Sedation Contributor: Aaron Lessen, MD Educational Pearls: Experts suggest that anyone who is...
Listen Now Contributor: Taylor Lynch, MD Educational Pearls: Excessive caffeine intake can be dangerous. For normal adults, the toxicity level...
Listen Now Contributor: Aaron Lessen, MD Educational Pearls: Case review of a patient with recurrent episodes of syncope and shortness...
Listen Now Contributor: Taylor Lynch, MD Educational Pearls: When a patient who missed dialysis presents to the emergency department, our...
Listen Now Contributor: Travis Barlock, MD Educational Pearls: What is pulmonary edema? Pulmonary edema is the accumulation of fluid initially...
Listen Now Contributor: Alec Coston, MD Educational Pearls: Benign Paroxysmal Positional Vertigo (BPPV) Common inner ear condition that can cause...
Listen Now Contributor: Aaron Lessen, MD Educational Pearls: Blunt cerebrovascular injury (BCVI) BCVI is a traumatic injury to the carotid...
Listen Now Contributor: Aaron Lessen, MD Educational Pearls: Big question in cardiac arrest: is the rhythm shockable? Shockable: ventricular fibrillation...
Listen Now Related Episodes
No related episodes found.
