Peripheral Vascular Injury Management

Hard findings	Soft findings
Absent distal pulses Pulsatile bleeding Audible bruit Palpable thrill Expanding or pulsatile hematoma Distal signs of ischemia such as pallor, cyanosis, decreased temperature	Palpable but diminished (sometimes grouped with hard) Isolated peripheral nerve injury History of haemorrhage in the field Unexplained hypotension Complex fracture Stable, non-pulsatile hematoma Proximity of injury to major vascular structures

Blind clamping of vessels can lead to nerve damage.
Target systolic blood pressure in hypotensive resuscitation is 90.
Major vascular injuries should be repaired within six hours to prevent long-term damage.

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