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BMC Emergency Medicine

Open Access
Open Peer Review

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Simple technique for evacuation of traumatic subcutaneous haematomas under tension

  • George Chami1Email author,
  • Belinda Chami1,
  • Edward Hatley1 and
  • Hossam Dabis1
Contributed equally
BMC Emergency Medicine20055:11

Received: 09 May 2005

Accepted: 13 December 2005

Published: 13 December 2005

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Archived Comments

  1. Sclerosed and potentially sclerosed vessels

    15 June 2006

    Dave Hopkins, n/a

    The intention of your experiment is quite commendable. I respect your observance of the scenarios in real emergency departments when it comes to an injury of this nature. However, I believe that your experiment, while credible, lacks many details about the effects that a procedure such as this may entail to the patient on which it is being performed. First, the location and nature of the injury needs to be more clearly defined. Many would say that this is unnecessary. However, if a person has been stabbed in the abdomen or chest, a procedure like this could cause many different, and potentially worse, consequences. Some common examples are: mesenteric rupture, ventricular overexpansion followed by cardiac collapse, etc. Also, this technique should come with a comprehensible use policy. Since some medications are pressors and constrict the blood vessels from which the hematoma is coming, a suction technique like this one could potentially sclerose and block a vessel. This could lead to a potentially fatal Pulmonary Embolus or Myocardial Infarction. In conclusion, the study you performed was groundbreaking, but needs more specification.

    Competing interests


Authors’ Affiliations

Department of Orthopaedics, Epsom General Hospital