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1 results

  • Pressure Points Technique for Traumatic Proximal Axillary Artery Hemorrhage: A Case Report

  • Guy Avital, Chaim Greenberger, Asaf Kedar, Regina Pikman-Gavriely, Maxim Bez, Ofer Almog, Avi Benov
  • Journal:
    Prehospital and Disaster Medicine / Volume 38 / Issue 1 / February 2023
    Published online by Cambridge University Press:
    16 December 2022, pp. 130-133
    Print publication:
    February 2023
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  • Introduction:

    While the pressure points technique for proximal hemorrhage control is long known, it is not recommended in standard prehospital guidelines based on a study showing the inability to maintain occlusion for over two minutes.

    Main Symptom:

    This report details a gunshot wound to the left axillary area with complete transection of the axillary artery, leading to profuse junctional hemorrhage and profound hemorrhagic shock.

    Therapeutic Intervention:

    Proximal pressure of the subclavian artery was applied against the first rib (the pressure points technique) and maintained for 28 minutes.

    Outcomes:

    Cessation of apparent bleeding and excellent, enduring physiologic response to blood transfusion were observed.

    Conclusion:

    The pressure points technique can be life-saving in junctional arterial hemorrhage and should be reconsidered in prehospital guidelines.