10th March 2024

You are asked to review a patient in A&E who has been admitted with a right painful leg.

You are asked to review a patient in A&E who has been admitted with a right painful leg. During your assessment, the patient tells you he feels a tingling sensation going down to the tip of his toes. On examination you note a pale and cold right leg with absent peripheral pulses. Examination of the left leg is unremarkable. Observations are BP 110/78 mmHg, pulse 91, temperature 37.1, respiratory rate 12 and saturations of 97% on room air. What is the best next step in management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.