5Ps: pain, pallor, pulselessness, paraesthesia and paralysis

5Ps:
pain, pallor, pulselessness, paraesthesia and paralysis.

✓diagnosis :
Duplex ultrasonography

CT angiography

Angiography in OT

✓management :

1-In the ED treatment would include:

Correction of dehydration with IV fluids

Keeping the patient NBM in anticipation of further intervention

Analgesia

IV heparin

2-Definitive treatment would depend on the viability if the limb, aetiology and location of the lesion, surgical preference and patient suitability for surgery:

-Peripheral occlusions in a viable limb may be managed by catheter directed thrombolysis, whereas revascularisation of the threatened limb is more time critical.

-Surgical options include:

Embolectomy (catheter or open)

Bypass (if arterial thrombosis present)

-Treatment of the non-viable limb is amputation.