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Limb Threatening Arterial Occlusion/Thrombus
Limb Threatening Arterial Occlusion/Thrombus
Clinical
Sudden limb pallor, loss of distal pulses. This is a medical emergency.
Management:
- Remove any IVI catheters/plasters from the limb
- Inform consultant
- Warm the contralateral limb
- If no response in 15 min: Consult anaesthetist for nerve block
- Arrange for transfer to NICU
- If transfer takes time, consider heparinisation ±tPA (available at Paarl but needs to be given after 10-15ml/kg FFP’s) according to TBH protocol book (pay attention to contra-indications. (Do FBC, INR, PTT, plasminogen and D-dimers as baseline before initiating above treatment)