I am interested in how often people are using one shot ED angiography, and for what indications. By hard signs I mean loss of distal pulse, expanding hematoma, bruit or thrill, visible arterial bleeding.
Lets see a quick show of hands.
Of course we like it. We use it almost every day. IT has much greater utility than other forms of angiography and doppler studies. At the Ben Taub, we are still using one shot emergency center arteriography for all of the indications cited above. The third indication, proximity, is a judgement call and usually not enough by itself.