Article Text

Download PDFPDF
Haemorrhage from femoral vein cannula: an additional potential source of haemorrhage among intravenous drug users
  1. R Cooke,
  2. J Fitzpatrick
  1. West Midlands Ambulance Service NHS Trust, Brierley Hill, West Midlands, UK
  1. 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{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

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.

Case report

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 driver’s side footwell. The ambient temperature was −2.5°C.

The patient’s 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 and superficial …

View Full Text


  • Funding None.

  • Competing interests None.

  • Patient consent Not needed.

Linked Articles

  • Primary survey
    Steve Goodacre