Notwithstanding, the absence of
femoral pulses in the presence of carotid pulses after CPR should prompt a CT scan, as in our case.
"It turned out he had no right
femoral pulses in his groin and there was no blood flow to the lower part of his body."
Clinical signs of thoracic aortic injury include evidence of external thoracic trauma, sternal fracture, hypotension, diminished or absent
femoral pulses, upper extremity hypertension and flail chest.
Cardiovascular: 2+ brachial and
femoral pulses, capillary refill time < 3 seconds, no murmurs; electrocardiogram showed couplets and short runs of VT.
In the PICU, patient was noted to have weak
femoral pulses and no urine output after four hours from PICU admission.
On exam she had weak but palpable
femoral pulses and an audible abdominal aortic bruit; ankle-brachial index measurements were deferred and the patient was scheduled for angiogram.