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Pressure Points Technique for Traumatic Proximal Axillary Artery Hemorrhage: A Case Report
Guy Avital1,2, Chaim Greenberger2, Asaf Kedar3
1Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Introduction:
While the pressure points technique for proximal hemorrhage control is long known, it is not recommended in standard prehospital guidelines based on a study showing the inability to maintain occlusion for over two minutes.
Main Symptom:
This report details a gunshot wound to the left axillary area with complete transection of the axillary artery, leading to profuse junctional hemorrhage and profound hemorrhagic shock.
Therapeutic Intervention:
Proximal pressure of the subclavian artery was applied against the first rib (the pressure points technique) and maintained for 28 minutes.
Outcomes:
Cessation of apparent bleeding and excellent, enduring physiologic response to blood transfusion were observed.
Conclusion:
The pressure points technique can be life-saving in junctional arterial hemorrhage and should be reconsidered in prehospital guidelines.
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