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Open Access Highly Accessed Research article

Simple technique for evacuation of traumatic subcutaneous haematomas under tension

George Chami*, Belinda Chami, Edward Hatley and Hossam Dabis

Author Affiliations

Department of Orthopaedics, Epsom General Hospital, Epsom, Surrey, UK

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BMC Emergency Medicine 2005, 5:11  doi:10.1186/1471-227X-5-11

Published: 13 December 2005

Abstract

Background

Traumatic subcutaneous haematomas are common cases in the accident and emergency department. Occasionally, urgent evacuation is required to prevent skin necrosis.

Methods

We present a simple and safe technique, based on a principle similar to liposuction to evacuate traumatic subcutaneous haematomas under tension. Instruments readily available in the accident and emergency department are used without the need of general anaesthesia.

Results

The technique was performed in six cases without complication such as infection or re-collection of the haematoma under tension. We present two typical scenarios where urgent evacuation was indicated and the technique performed.

Conclusion

The technique is useful as an urgent and safe procedure in the accident and emergency department setting.