Seeking Videos for #TrainInPA
PACEP and the PACEP Education Committee would like to promote  
Pennsylvania residencies in its #TrainInPA campaign for the upcoming  
recruiting and match season. Our request of PA residency programs that  
would like to participate is to make a 20-30 second video promoting their  
residency and the #TrainInPA campaign.  
Videos will be uploaded to PACEP social media and allied organizations as  
well as featured on the website to promote exposure to prospective  
student applicants.  
We request if you wish to participate in this campaign that you provide video to the 
email exec@pacep.net, and close the video with “Train in PA”.
Patient course: 
Arterial Duplex Ultrasound showed complete occlusion 
of mid left popliteal artery with collateral vessels at this 
level. Partially occlusive thrombus, wall thickening and 
luminal narrowing of distal left popliteal artery. The patient 
was taken to the operating room for popliteal suction 
thrombectomy and angioplasty. 
Relevance to EM: 
There are the “6 Ps” of acute limb ischemia: pain, pallor, 
paresthesias, poikilothermia, pulselessness, paralysis. Pain is 
often the first symptom. Motor deficits reflect severe limb-
threatening ischemia. The initial test of choice in the ED is CT 
angiography. Even though the patient had a medical history 
of hemophilia, factor replacement can transiently restore 
procoagulant capacity. Be sure to keep arterial and venous 
occlusion on the differential for patients with underlying 
bleeding disorders and be sure to review home medications. 
PACEP SCIENTIFIC ASSEMBLY 2026 CPC HIGHLIGHT
The Conclusion
The Diagnosis:  
Acute Limb Ischemia 
Test to order:  
Arterial Duplex Ultrasound 
CPC CASE 
STUDY
RESULTS
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PACEP News

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