First treatment of rupture of varicose veins at the ankle should be
Varicose veins around the ankle foot and lower leg especially in the elderly are highly vulnerable to hemorrhage which may occur with minor trauma or spontaneously when patient is up and about. The ensuing hemorrhage may be copious but is easily stopped by finger pressure or when patient lies down with foot elevated and a firm pad and bandage is applied'. Treatment must be completed by elimination of affected varicosity which may be achieved by compression sclerotherapy.
Rest in prone position of patient
Application of tourniquet proximally
Application of tourniquet distally
Direct pressure and elevation
Vascular surgery