European Journal of Plastic Surgery

, Volume 39, Issue 2, pp 163–164 | Cite as

The management of acute peripheral arterial bleeding in emergencies: a plastic surgeon’s perspective

  • Metin Nizamoglu
  • Sharmila Jivan
Letter to the Editor


Peripheral arterial bleeding following trauma commonly presents to the emergency department. There is currently no national guideline for achieving haemostasis in the acute setting prior to definitive management. As plastic surgeons, we are often referred patients with uncontrolled bleeding in the accident and emergency (A&E) department. We want to improve management of this condition by proposing simple measures for use in the emergency setting that can be implemented simultaneously alongside resuscitative measures to control the bleeding until definitive management is arranged.

We circulated a questionnaire to 33 of our clinicians working in our A&E department. We asked them how they would manage an acute radial artery haemorrhage from a 1-cm laceration over the volar surface of the wrist. Answers were provided in real time without provision of time to pre-meditate an answer. The doctors selected were at varying stages in their careers from foundation to consultant levels.



Point Pressure Cotton Wool Manual Pressure Definitive Management Compression Bandage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest

Metin Nizamoglu and Sharmila Jivan declare that they have no conflict of interest.

Ethical standards

The manuscript does not contain clinical studies or patient data.


  1. 1.
    Rudge WBJ, Rudge BCJ, Rudge CJ (2010) A useful technique for the control of bleeding following peripheral vascular injury. Ann R Coll Surg Engl 92(1):77CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Plastic Surgery DepartmentPinderfields HospitalWakefieldUK

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