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Harbor:AVF/graft complications
From WikEM
Background
Guidelines regarding the disposition of patients with bleeding/thrombosed AV fistulas/grafts.
Management
- Patients with bleeding/thrombosed fistulas/ grafts who do NOT need to go immediately to the operating room should get admitted to medicine. For example, the patient in whom there was some bleeding, but trauma surgery or EM was able to place a suture in the ED and achieved hemostasis – if this patient needs further evaluation via vascular duplex or interventional radiology, this patient would get admitted to medicine with consults to vascular and renal.
- Patients with bleeding/thrombosed fistulas/grafts that warrant immediate operative intervention (e.g., the TTA patient) should get admitted to Trauma (and then transferred to Vascular the next day)
