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Management of Vascular Trauma

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Ryan's Ballistic Trauma

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Abstract

Uncontrolled hemorrhage is the cause of up to 40% of deaths in civilian trauma and over half of combat deaths.1,2 Truncal hemorrhage has been identified as the leading cause of potentially survivable deaths in combat casualties, irrespective of injury severity.3 The combat environment provides a difficult working environment with possibilities for delayed patient transport, limitations on resources, and surgeons who lack vascular expertise. The significant advances made in vascular surgery over the course of the last century are closely related to the experience obtained during military conflict. Ligation - being the method of choice in both World Wars - resulted in an amputation rate of mangled extremities with vascular injuries of 50%.4 However, surgeons mobilized during the Korean War had the benefit of new understanding in surgical physiology and improved instrumentation that heralded restorative techniques, a reduction in the amputation rate to 13%, and the modern era of vascular surgery.5

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Author information

Authors and Affiliations

  1. Trauma and Orthopaedics, Royal College of Defence Medicine, Birmingham, UK

    Kate Brown

Authors
  1. Kate Brown
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  2. Nigel Tai
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Corresponding author

Correspondence to Kate Brown .

Editor information

Editors and Affiliations

  1. Dept. Surgery, Div. Traumatology &, University of Pennsylvania Medical Ctr., Spruce St. 3400, Philadelphia, 19104, Pennsylvania, USA

    Adam J. Brooks

  2. , Academic Department of Military Surgery, Frimley Park Foundation Trust, Surrey, GU16 7UJ, United Kingdom

    Jon Clasper

  3. Royal Centre for Defence Medicine, Institute of Research & Development, Acad. Dept. of Military Surgery & Trauma, Vincent Drive, Birmingham, B15 2SQ, United Kingdom

    Mark Midwinter

  4. Birmingham Research Park, Acad. Dept. of Military Emergency Med., Vincent Drive, Birmingham, B15 2SQ, United Kingdom

    Timothy J. Hodgetts

  5. Inst. Research & Development, Dept. Military Anaesthesia, Royal Centre for Defence Medicine, Vincent Drive, Edgbaston, Birmingham, B15 2SQ, United Kingdom

    Peter F. Mahoney

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© 2011 Springer London

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Brown, K., Tai, N. (2011). Management of Vascular Trauma. In: Brooks, A., Clasper, J., Midwinter, M., Hodgetts, T., Mahoney, P. (eds) Ryan's Ballistic Trauma. Springer, London. https://doi.org/10.1007/978-1-84882-124-8_30

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  • DOI: https://doi.org/10.1007/978-1-84882-124-8_30

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-123-1

  • Online ISBN: 978-1-84882-124-8

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