About the videocast
When a patient has an obvious, compressible bleeding source, the appliacation of direct (or indirect) pressure is the easiest and often best way to stop the bleeding. But what options exist when the source of bleeding is not compressible? Or internal? Historically the option was a surgical referral, however with the rapid advances in interventional radiology there are now other options to be used along side, or in place of, surgical intervention.
Richard Miles presents a series of cases to demonstrate the application of interventional radiology in the setting of trauma, showing that it may be an appropriate option in the unstable patient. We review IR as the sole therapy and as an adjunct to surgical intervention in the trauma patient.
After watching we hope you will consider asking yourself and your team “would this be appropriate for IR?”.
Links:
CT images showing active renal extravasation with large subcapsular and retroperitoneal hemorrhage. Case courtesy of Dr Michael P Hartung, Radiopaedia.org. From the case rID: 60975
THE PTN 