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Western Trauma Association Critical Decisions in Trauma: Evaluation and management of peripheral vascular injury, Part II

Feliciano, David V. MD; Moore, Ernest E. MD; West, Michael A. MD; Moore, Frederick A. MD; Davis, James W. MD; Cocanour, Christine S. MD; Scalea, Thomas M. MD; McIntyre, Robert C. Jr. MD

Journal of Trauma and Acute Care Surgery: September 2013 - Volume 75 - Issue 3 - p 391–397
doi: 10.1097/TA.0b013e3182994b48
WTA Algorithm
Editor's Choice

This is a position article from members of the Western Trauma Association (WTA). Because there are no prospective randomized trials on the evaluation and management of peripheral vascular trauma, the algorithm is based on the expert opinion of the WTA members and published observational studies. It may not be applicable at all hospitals caring for injured patients. The algorithm contains letters that correspond to lettered text that is intentionally concise. This Part II algorithm focuses on operative techniques, while the Part I algorithm (J Trauma 2011;70: 1551–1556) emphasized evaluation, diagnosis, and need for operation versus a therapeutic procedure performed in an interventional suite.

From the Denver Health Medical Center/University of Colorado (E.E.M.), Denver, Colorado; San Francisco General Hospital/University of California (M.A.W.), San Francisco, California; University of Florida (F.A.M.), Gainesville, Florida; University of California (J.W.D.), San Francisco--Fresno, California; University of California--Davis Medical Center (C.C.), Sacramento, Califonia; R Adams Cowley Shock Trauma Center/University of Maryland (T.M.S.), Baltimore, Maryland; and University of Colorado (R.C.M.), Denver, Colorado.

Submitted: May 21, 2012, Revised: March 28, 2013, Accepted: March 28, 2013, Published online: August 9, 2013.

This study was presented at the 41st annual meeting of the Western Trauma Association, February 27 to March 4, 2011, in Big Sky, Montana.

Address for reprints: David V. Feliciano, MD, Division of General Surgery, Indiana University Medical Center, 545 Barnhill Dr, EH 509, Indianapolis, IN, 46202; email:

© 2013 Lippincott Williams & Wilkins, Inc.