Complex and combined injuries of blood vessels

1.* In first - aid medical care provided immediately after the injuries: medical evacuation and emphasised the need for good medical treatment in the first ten minutes ("platinum minutes"). * A basic understanding of both blunt and penetrating injuries helps minimize mortality and morbidity in these patients. * New methods of reconstruction, including endovascular surgery, are now applied and should be a focus of training for combat suregy.

1.Emergency surgical procedures and treatment to stabilize casualties in order to save lives, limb or functions, including rapid initial control of hemorrhage and contamination, temporary closure, and resuscitation. * The use of the autologous vein bypass is the goal standard for the contaminated (potentially infective) wound. The vein ligature is the choice treatment in combat zone. * The endovascular treatment requirement for treatment of penetrating and blunt vascular traumas. Sometimes traumatic pseudoaneurysms involving non essential vessels have been effectively treated by direct arterial embolization.

1.Time is a fundamental factor in the effectiveness of medical care. The time taken until the receipt to appropriate medical intervention will affect the general outcome, including the risk of death and speed of recovery. Treatment and evacuation are determined by medical military doctrine, whose must be ensured by clear command and control. Treatment protocol difference between combat and civil vascular trauma. The role of well-timed compartment sindrome detection and treatment.