Once again, you need a protocol. If you take away with nothing else from this lecture - upon returning home, I would advise you to meet with your vascular surgeon and talk about setting up some sort of protocol for the workup and management of vascular injury.

When a patient with vascular injury presents, you want to know exactly what you are going to do and not start arguing and wasting valuable time.

So go home and establish rapport with your vascular surgeon.