Evaluation and Management of Peripheral
Vascular Injury
Part 1

Annotation for Point S

 If a comparison (between the injured and the contralateral uninjured extremity) of pulses at the wrists or ankles or an ABI, a BBI, or an API cannot be completed in the now hemodynamically stable patient, a diagnostic imaging study should be performed on the injured extremity. This would be necessary, as well, if the hand or foot of the injured extremity seems to be cooler or have slower capillary refill at the fingernails/toenails as compared with the contralateral uninjured extremity.