Notwithstanding, the absence of femoral pulses
in the presence of carotid pulses after CPR should prompt a CT scan, as in our case.
Weak or absent femoral pulses
are present in 92% of patients.
"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.