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Punctures

Puncturing an Artery

  • This should not occur if the vessel is palpated, as arterial pulsation will be felt.
  • If an artery is punctured, bright red blood will pump out under force.
  • If this occurs release the tourniquet, remove needle, and apply pressure for 5 minutes to ensure haemostasis.

Puncturing a Nerve

  • It is rare that a nerve is punctured but if you do the patient will complain in severe pain and may have parathesis (pins and needles).
  • Tourniquet should be released, and the needle removed immediately.
  • Patients often feel faint and need to lie down. Therefore, explain to the patient what has happened and reassure him/her. If the symptoms do not settle you should call onsite first aider and security.
  • Ensure patient feels well enough to leave and advise them to return to hospital/GP if symptoms get worse.