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Vascular trauma 

Vascular trauma
Chapter:
Vascular trauma
Author(s):

Jason Smith

, Ian Greaves

, and Keith M Porter

DOI:
10.1093/med/9780199543328.003.0016
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date: 22 September 2019

Vascular trauma 292

Management of vascular trauma 298

Specific vascular injuries 304

Conclusion 311

Further reading 312

Vascular trauma is challenging for the vascular specialist and non-specialist alike. As might be expected, vascular injuries are frequently the cause of profound haemorrhage and physiological disturbance, are time-critical and require expeditious treatment. However, they are particularly intolerant of hasty, rushed, or sub-optimal technique. In these frequently critically-injured patients, the surgeon and the wider trauma team must at once balance the twin priorities of haemorrhage control and definitive repair with the imperative to address other life-threatening injuries, whilst minimizing operative time. Furthermore, when considering extremity injury, there is the need to set the costs of intervention against the likelihood of restoring adequate limb function, taking into consideration the totality of damage to integument, soft tissue envelope, and axial skeleton....

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