hematoma

Depending upon the size of the hematoma, we apply manual pressure 20-30 minutes, then apply a Femstop or sandbag. For the groins that blow and result in large hematomas, sometimes a C-clamp. Depending upon the severity, may get an U/S thr next day.

Our policy is to hold pressure(10-20 minutes)and express manually. We also notify our physicians if it very large. If it rebleeds or continues to form a hematoma, our physician will order a doppler study to ensure there is not a pseudo-anyersm present. We rarely use a femstop and never use sandbags or c-clamps. With the use of closure devices, angioseal and perclose, our hematoma rate has dropped but was not high to begin with.