PREHOSPITAL CARE
Haemorrhage from femoral vein cannula: an additional potential source of haemorrhage among intravenous drug users
West Midlands Ambulance Service NHS Trust, Brierley Hill, West Midlands, UK
Correspondence to:
Correspondence to Dr R Cooke, West Midlands Ambulance Service NHS Trust, Millenium Point, Waterfront Business Park, Waterfront Way, Brierley Hill, West Midlands DY5 1LX, UK; roger.cooke@wmas.nhs.uk
Accepted 17 December 2008
| The first 150 words of the full text of this article appear below. |
Use of the femoral vein for self-administration of drugs is increasing among intravenous drug users. We report an unusual source of haemorrhage in an habitual intravenous drug user involved in trauma.
In the early hours of the morning a small car was involved in a high-speed head-on collision with a lorry. The driver was unrestrained and, following the collision, was positioned in the front passenger footwell with his back resting against the inside of the passenger door, legs drawn up and feet in the drivers side footwell. The ambient temperature was –2.5°C.
The patients level of consciousness fluctuated between alert and responsive to pain. The airway was clear with spontaneous breathing and bilateral air entry. The blood pressure was normal with a pulse rate of 68 bpm and the pupils were normal and reactive to light. The abdomen was soft to palpation. The upper limbs appeared intact, with multiple scarring
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