skyfall Posted December 13, 2014 Share Posted December 13, 2014 Pt, who had a MI about a month ago, arrives in ER with with cold, numb leg with no pedal pulse. What do you do first? Emergency surgical consult or emergency doppler U/S? Can you call first since it's a surgical emergency and then do doppler? Or do we have to confirm what it is with a diagnostic before calling? Classmates and I are debating. Link to comment Share on other sites More sharing options...
Arthropathy Posted December 13, 2014 Share Posted December 13, 2014 If no palpable pulse, grab a Doppler (not US) and try to hear a pulse, it takes 10 seconds. If no pulse on Doppler you need a stat consult but either way your probably getting a surgical consult. Link to comment Share on other sites More sharing options...
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