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This episode of Big T-T trauma is sponsored by Teleflex,

a global provider of medical devices that address the time-critical challenges

of achieving vascular access and bleeding control.

Not all products are available in all regions.

To learn more, visit Teleflex.com.

Hello, this is Patrick Georgeoff with Behind the Knife. I got a scenario for you. It's 1 a.

m. Saturday morning and a trauma arrives with a GSW to the proximal thigh and they have no distal

pulses on that leg.

Who's doing the repair? Is it trauma or is it vascular? What if it's below the knee?

What if it's the upper arm, the subclavian, or even the IVC? There are counten's factors that

play into this scenario, and this includes trauma surgeon's skill and experience, whether or not a vascular surgeon is available, how stable is a patient, how complex is the injury.

Is there any potential benefit from an availability of endovascular treatment?

What are the institutional politics?

There's so much that goes into this.

So acknowledging that every patient, each institution, and any given night on call is

unique, there is concern among the surgical community that the bulk of the responsibility for

addressing traumatic vascular injury has shifted towards the vascular surgeon. So why is this?

And should we in the trauma surgery community care? Certainly we care. so we can dive in and talk about this a little more.

So to help us get through this, we've got the Big T trauma co-host, Dr. Teddy Pousio, who is a trauma surgeon at University of Texas in Houston. We've got a new guest, Dr. Brian Gilmore. He's a vascular surgeon at Duke and associate PD of our integrated vascular surgery residency. and another new guest, Dr. Joe DeBose, who is

professor of surgery at the University of Texas in Austin, where he's director of the Integrated

Trauma Research Group and Director of Vascular Resuscitation and Trauma Management.

...