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Vascular trauma 

Vascular trauma
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date: 18 October 2019

Vascular trauma is not a modern phenomenon, with descriptions of vascular injury to be found in ‘The Iliad’. It is estimated that each year approximately 4 million people die worldwide from unintentional injury and violence, and tens of millions are left permanently disabled Massive haemorrhage remains the leading cause of preventable death after major trauma. Military and trauma surgeons have long understood that the priority with exsanguinating haemorrhage is the surgical control of bleeding. Only when bleeding is controlled can effective resuscitation begin. Unstable patients approaching physiological collapse must be identified early by effective triage and then fast tracked for damage control surgery. Subsequent definitive surgical care can then attempt to restore vascular continuity and function to the affected vascular territory. Current concepts of damage control surgery for vascular trauma is discussed.

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