2020 EAST SURGICAL VIDEOExposure of the abdominal aorta and visceral branches for hemorrhage control: A 2020 EAST Master Class Video PresentationWarriner, Zachary MD; Benjamin, Elizabeth MD, PhD; Minneti, Michael RRT, M Ed; Demetriades, Demetrios MD, PhDAuthor Information From the Division of Trauma and Surgical Critical Care (Z.W., E.B., M.M., D.D.), LAC+USC Medical Center, University of Southern California, Los Angeles, California; and Division of Trauma, Acute Care Surgery and Surgical Critical Care (Z.W.), Chandler Medical Center, University of Kentucky, Lexington, Kentucky. Submitted: December 1, 2019, Revised: April 26, 2020, Accepted: May 11, 2020, Published online: June 2, 2020. This video has been accepted for presentation at the 33rd EAST Annual Scientific Assembly, January 17, 2020 in Orlando, Florida. Supplemental digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML text of this article on the journal’s Web site (www.jtrauma.com). Address for reprints: Zachary Warriner, MD, Division of Trauma, Acute Care Surgery and Surgical Critical Care, Chandler Medical Center, University of Kentucky, 800 Rose St, Room C246, Lexington, KY 40536; email: firstname.lastname@example.org. Journal of Trauma and Acute Care Surgery: September 2020 - Volume 89 - Issue 3 - p e84-e88 doi: 10.1097/TA.0000000000002803 Buy SDC Metrics Abstract BACKGROUND Rapid control of abdominal hemorrhage is a potentially life-saving surgical skill. Although open exposure and control of the abdominal aorta and its visceral branches is a fundamental part of surgical training, familiarity with the anatomy and spacial relationships of the surrounding structures can be challenging for even the experienced surgeon. Content (Description of Video) Using a fresh perfused cadaver, this video provides a step by step visual guide for aortic exposure from the diaphragmatic hiatus to the iliac bifurcation. Key maneuvers including control of the supraceliac aorta, left medial visceral rotation with identification of superior mesenteric and celiac arteries, and exposure of the perirenal aorta and proximal renal vessels are outlined. Damage control and definitive management strategies are discussed and potential tips and pitfalls in addressing intraabdominal hemorrhage are highlighted. Conclusion The critical application of aortic exposure for hemorrhage control is a life-saving intervention if done rapidly and effectively. This requires a sound understanding of aortic anatomy and necessary steps for adequate exposure and subsequent repair. This video outlines the necessary steps to perform these interventions. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.