Bottle it up: Prehospital management of an AV fistula bleed using a bottle cap: A case report by Rebecca Greenstein

Hemorrhage from arteriovenous fistula sites is a known complication with potentially fatal consequences. The management of AV fistula hemorrhage has historically included direct pressure, tourniquet use, and/or surgical management. We describe a case of a 71-year-old female with hemorrhage from an AV fistula site that was successfully managed in the prehospital setting using a simple bottle cap.

Am J Emerg Med. 2023 Mar 8:S0735-6757(23)00127-4. doi: 10.1016/j.ajem.2023.03.011. Online ahead of print.

ABSTRACT

Hemorrhage from arteriovenous fistula sites is a known complication with potentially fatal consequences. The management of AV fistula hemorrhage has historically included direct pressure, tourniquet use, and/or surgical management. We describe a case of a 71-year-old female with hemorrhage from an AV fistula site that was successfully managed in the prehospital setting using a simple bottle cap.

PMID:36933987 | DOI:10.1016/j.ajem.2023.03.011

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