Picture Quiz: Know your anatomy--the femoral triangle
- By: Donal Shanahan
A 25 year old man was brought into the emergency department by ambulance. He was involved in a road traffic incident and had an obvious site of blood loss from a fracture of an upper limb. On his arrival at the emergency department, you are told that the ambulance paramedic was unable to gain intravenous access and are asked by the person in charge of resuscitation to try to gain access. You are unable to find any peripheral veins because he is hypovolemic. You attempt to put in a central line via the femoral vein (fig 1).