Hard signs | Active hemorrhage |
Absent distal pulses or ischemia | |
Expanding or pulsatile hematoma | |
Bruit or thrill | |
Subtle signs | Subjective reduced or unequal pulses |
Large non-pulsatile hematoma | |
Orthopedic injuries carrying a high index of suspicion of vascular injury | |
Neural injury | |
History of large hemorrhage on trauma scene |