# Traumatic Extremity Injuries

- Link: https://sifsof.com/clinical-apps/traumatic-extremity-injuries/
- Published: 2020-02-24T23:13:34+00:00
- Author: Developer

Choosing a surgical treatment strategy for patients with traumatic extremity injuries
requires rapid detection, localization, and characterization of a possibly accompanying
vascular injury.

 Vascular injuries present a great challenge to emergency physicians because some
vascular lesions may not be immediately identified with clinical evaluation and 
monitoring of vital signs.

 Physical and sonographic examinations after extremity trauma have been found to
be reliable means of detecting an occult arterial lesion.

  Point-of-care ultrasound and Color flow Duplex Doppler ultrasound are widely available,
cheaper, noninvasive, and faster to obtain. They can provide bedside valuable information
for the identification of some vascular injuries allowing to an integrated management
of the trauma patient, enriched by the use of ultrasound.

### **Which ultrasound scanner is best for traumatic extremity injuries assessment?**

 Vascular injuries of the extremities and neck must be investigated with high-frequency
linear [SIFULTRAS-5.42](https://sifsof.com/product/double-head-wifi-color-ultrasound-scanner-sifultras-5-42-fda/)
transducers because a higher resolution and a lower penetration are commonly needed.
There are some exceptions, such as patients with large [hematomas](https://sifsof.com/clinical-apps/seromas-and-hematomas/)
and super obese patients, in which a convex SIFULTRAS-5.42 probe with higher penetration
is recommended.

 In the extremities and neck Point of care ultrasound is used for the diagnosis 
of fractures, hematomas, and the identification of foreign bodies. At the same time,
in stable patients without hard signs of vascular damage, it could be of great help
for a prompt bedside diagnosis, characterization, and monitoring of trauma-related
vascular injuries.

 When evaluating vascular injuries, the region of the trauma must be explored, and
transversal and longitudinal scans of the vessels should be performed with B-mode.
Proximal and distal flows should be investigated with [Color flow Duplex Doppler ultrasound](https://sifsof.com/product-category/ultrasound-scanner/color-doppler-ultrasound-scanner/).
For comparative purposes, both limbs and both sides of the neck should be evaluated.

 The pulsed wave Doppler analysis shows a continuous flow pattern with respiratory
variations. Ultrasound can rapidly rule out vascular injuries after trauma at the
bedside

 Color Duplex Doppler evaluation will show the presence or absence of blood flow
and the direction and velocity of the flow. In normal veins, the flow is continuous
and spontaneous at rest and the velocity varies with respiration, increasing during
inspiration, and decreasing during expiration or when a Valsalva maneuver is performed.

 Point-of-care ultrasound and Color flow duplex Doppler ultrasound are widely available,
noninvasive, sensible and specific techniques that can be used bedside, as a first
approach for a prompt diagnosis and follow-up of trauma-related vascular injuries,
and for an integrated management of trauma patient.

This procedure is done by an [emergency doctor.](https://sifsof.com/product-category/doctor-specialties/emergency-medicine-specialist/)

Reference: [Point-of-care ultrasound and Doppler ultrasound evaluation of vascular injuries in penetrating and blunt trauma](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313497/).

![](https://sifsof.com/wp-content/uploads/2020/02/Peripheral-Arterial-Trauma-ultrasound.
png)

 * ![wireless ultrasound scanner](https://sifsof.com/wp-content/uploads/2023/06/
   SIFULTRAS-5.42-double-head-wireless-ultrasound-300x300.webp)
 * Color Double Head Wireless Ultrasound Scanner SIFULTRAS-5.42 FDA
 * ![Color Doppler 3 in 1 Wireless Ultrasound Scanner SIFULTRAS-3.31 main](https://
   sifsof.com/wp-content/uploads/2019/10/SIFULTRAS-3.31-main-picture-300x300.jpg)
 * Color Doppler 3 in 1 Wireless Ultrasound Scanner SIFULTRAS-3.31
 * ![Wireless 3 in 1 Ultrasound Scanner SIFULTRAS-3.3 Triple Headed: Convex, Linear
   and Cardiac Probe main pic](https://sifsof.com/wp-content/uploads/2019/09/SIFULTRAS-
   3.3-main-picture-1-300x300.jpg)
 * 3 in 1 Ultrasound Scanner SIFULTRAS-3.3 Triple Headed: Convex, Linear and Cardiac

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