Institution will dictate admission process
Suggested algorithm
If: Strong pulses + ABI >0.9 + normal doppler, admit for obs and serial vascular exams
If: Good perfusion + asymmetric pulses or ABI <0.9 or abnormal doppler, consult vascular surgery + obtain CTA
If: Weak pulses or signs of ischemia = emergent vascular surgery consult and OR
Consider trauma consult depending on mechanism and additional injuries
Suggested algorithm
If: Strong pulses + ABI >0.9 + normal doppler, admit for obs and serial vascular exams
If: Good perfusion + asymmetric pulses or ABI <0.9 or abnormal doppler, consult vascular surgery + obtain CTA
If: Weak pulses or signs of ischemia = emergent vascular surgery consult and OR
If: Strong pulses + ABI >0.9 + normal doppler, admit for obs and serial vascular exams
If: Good perfusion + asymmetric pulses or ABI <0.9 or abnormal doppler, consult vascular surgery + obtain CTA
If: Weak pulses or signs of ischemia = emergent vascular surgery consult and OR
Knee dislocation
Hip dislocation
Knee fractures
Lens dislocation
Patella fracture
Elbow dislocation
Segond fracture
Shoulder dislocation