48
Treatment
Figure 8. Algorithm for Diagnosis and Management of ALI
Acutely cold, painful, pulseless
leg (symptoms <14 d)
• Audible arterial
• Audible venous
• Inaudible arterial
• Audible venous
Suspected ALI
Revascularization
(urgent) AND
anticoagulation
with heparin,
unless
contraindicated
(1)
Category I: Viable
• Normal motor
function
• No sensory loss
Emergency clinical
evaluation including:
symptoms, motor and
sensory assessment,
arterial and venous
Doppler signals
(1)
Intact
Concurrent and
early amputation if
prolonged ischemia
(2a)
Category IIa: Marginally threatened
• Sensory loss limited to toes if present
• No muscle weakness
Monitor/treat for compartment
syndrome (fasciotomy)
(1)
Salvageable if treated urgently
Monitor and treat
for compartment
syndrome
(fasciotomy)
(1)
Motor function
assessment
