{"pk":725,"title":"Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow","subtitle":null,"abstract":"Acute vascular injury can be a cause of significant disability and morbidity. High clinical suspicion and a thorough physical examination are key components to facilitate a timely diagnosis. We present a case of acute vascular injury after isolated penetrating trauma. Physical examination demonstrated a strong distal radial pulse; however, point-of-care ultrasound facilitated an evaluation of the directionality of arterial flow, demonstrating that flow was retrograde via the palmar arch. We subsequently identified a proximal and complete arterial laceration.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5324z8hx","frozenauthors":[{"first_name":"Nadia","middle_name":"Aracelliz","last_name":"Villarroel","name_suffix":"","institution":"UMASS Medical School-Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"William","middle_name":"","last_name":"Wagner","name_suffix":"","institution":"UMASS Medical School-Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Schoenfeld","name_suffix":"","institution":"UMASS Medical School-Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"}],"date_submitted":"2019-09-30T17:28:40-04:00","date_accepted":"2019-09-30T17:28:40-04:00","date_published":"2019-09-30T17:29:43-04:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/725/galley/480/download/"}]}