List Archives

Fri Apr 4 17:38:40 BST 2008

Hey Sa'ad,

I've used this technique for penetrating trauma (stabs; no gunshots I =
can
recall) in the upper arm (deltoid), peri-clavicular region, neck and =
groin,
always for unrelenting arterial bleeding where more regular methods =
would
not stem the outgoing tide.  It has saved my hide metaphorically and the
patient's literally quite a few times.  I always feel odd sending a =
patient
up to a higher level of care with a Foley protruding, but in the more
resource-restrained spots it's sometimes the best one can do.

On one memorable occasion with a stab that partially transacted the =
femoral
artery right in the patient's groin I arrived on call as the patient was
being intubated after collapsing due to acute blood loss.  I swept in,
replaced the helpful hands with a Foley, blew up the balloon and stopped =
the
blood flow, to great accolade.  The balloon was trying to escape the =
wound,
so I put in a purse-string type suture to close the skin and prevent it =
from
dislodging in transit...whereby my last pass of the needle popped the
balloon and showered me with blood.  Blood 1 Pride 0.  Second Foley =
placed
with less flair.

R.

Dr Ross Hofmeyr
Expedition Leader  & Doctor
South African National Antarctic Expedition
ross.hofmeyr at sanae.sanap.ac.za
ross at wildmedix.com
Tel: +2721 405 9428
Skype:  wildmedic
=93Semper Paratus=94
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-
> bounces at trauma.org] On Behalf Of Sa'ad Lahri
> Sent: 04 April 2008 04:17 PM
> To: trauma-list at trauma.org
> Subject: foley's catheter balloon tamponade
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> Hi!
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> I know that Foley's catheter balloon tamponade is used in certain =
patients
> to arrest haemorrhage from penetrating neck injuries and have used =
this
> technique successfully on a few occasions.
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> see World J Surg. 2006 Jul;30(7):1265-8 Navsaria P, Thoma M, Nicol A.
> http://www.ncbi.nlm.nih.gov/pubmed/16830215
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> Assited a colleague with a patient a few nights ago with a =
infraclavicular
> stab wound shooting out arterial blood and tried this technique. =
Seemed to
> have worked
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> Just wanted to find out any other experiences with the Foley's =
catheter in
> other sites besides the neck?
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> Kindest regards
> Sa'ad
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> Dr Sa'ad Lahri
> Emergency Medicine Registrar
> UCT/US
> Cape Town
> South Africa
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foley's catheter balloon tamponade