All patients with critical limb ischaemia (rest pain, tissue loss / non healing ulcers / gangrene) or acute limb ischaemia are to be discussed with MO/ registrar on call and should be seen as emergencies the EU. Candidates for revascularisation must be discussed with the Vascular Surgery Unit at GSH early.
Remember acute limb ischaemia, will present with a short sudden history of acute severe pain, usually a cold limb which will be pulseless, pale and insensate or have paraesthesia. If there is motor fallout or skin staining the limb will not be salvageable.