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Brief Report: Systemic Vascular Access and Resuscitation via Corpus Cavernosum
1Occupational Medicine Department, C.W. Bill Young VA Medical Center, 10000 Bay Pines Boulevard, Bay Pines, FL 33744.
Military Medicine
|November 17, 2016
Summary
Corpus cavernosum (CC) access offers a potential alternative for pre-hospital resuscitation in hypovolemic male trauma patients when traditional methods fail. This method demonstrated rapid access and resuscitation with minimal complications in a literature review.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Vascular Access
Background:
- Pre-hospital vascular access for hypovolemic trauma patients presents challenges.
- Current methods include venous cut-downs, peripheral IV lines, and interosseous routes.
Purpose of the Study:
- To examine the corpus cavernosum (CC) as an alternative vascular access route in males.
- To evaluate the efficacy and safety of CC access for resuscitation.
Main Methods:
- A systematic literature review was conducted.
- Inclusion criteria focused on CC access and resuscitation.
- A summary table of findings was created.
Main Results:
- Six articles met the review criteria.
- CC access was found to be quick and easy, with rapid flow rates.
- Resuscitation times were reduced in both human and animal models.
- One case reported a spontaneously resolving shaft hematoma.
Conclusions:
- Corpus cavernosum (CC) access may be a safe and effective alternative for pre-hospital resuscitation in hypovolemic male trauma patients when conventional methods are unsuccessful.
- Further validation is needed for potential inclusion in pre-hospital protocols like TCCC.
- Publication bias was a potential limitation.
