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Rich’s Vascular Trauma
https://t.me/medicina_free

Rich’s Vascular
https://t.me/medicina_free
Trauma
Todd E. Rasmussen, MD, FACS
Colonel (Ret.) USAF MC
Professor of Surgery and Senior Associate Consultant
Division of Vascular and Endovascular Surgery
Mayo Clinic
Rochester, Minnesota
Nigel R.M. Tai, MB, BS, MS, FRCS
Colonel, Late RAMC
Consultant Trauma & Vascular Surgeon
Royal Centre for Defence Medicine (Research & Clinical Innovation)
HQ Defence Medical Services
Birmingham, United Kingdom;
Vascular Clinical Lead
Barts Health NHS Trust
London, United Kingdom
FOURTH EDITION

Elsevier
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RICH’S VASCULAR TRAUMA, FOURTH EDITION ISBN: 978-0-323-69766-8
Copyright © 2022, by Elsevier Inc. All Rights Reserved.
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Last digit is the print number: 9 8 7 6 5 4 3 2 1

List o f C on tributors
https://t.me/medicina_free
Christopher Aylwin, MBBS, MA, FRCS
Consultant Vascular and Trauma Surgeon
Major Trauma Centre
Imperial College Healthcare NHS Trust
London, United Kingdom
Ed B.G. Barnard, BM, BS, BMedSci(Hons), PhD, FRCEM,
FIMC, RCSEd
Senior Lecturer
Academic Department of Military Emergency Medicine
Royal Centre for Defence Medicine (Research & Clinical
Innovation)
Birmingham, United Kingdom;
Honorary Consultant in Emergency Medicine
Cambridge University Hospitals NHS Foundation Trust
Cambridge, United Kingdom
Andriy I. Batchinsky
Director, Autonomous Reanimation and Evacuation
Program
Brooks City Base
San Antonio, Texas;
Senior Principal Investigator
The Geneva Foundation
Tacoma, Washington;
Manager, Extracorporeal Life Support Capability Area
U.S. Army Institute of Surgical Research
Battleeld Health and Trauma Research Institute
Fort Sam Houston, Texas
Kenneth Boffard, MB, BCh, FRCS, FRCS(Edin),
FRCPS(Glas), FCS(SA), FACS
Professor Emeritus
Department of Surgery
University of the Witwatersrand
Johannesburg, South Africa;
Professor and Academic Head
Trauma and Critical Care
Milpark Academic Trauma Centre
Johannesburg, South Africa
Jeremy W. Cannon, MD
Associate Professor of Surgery
Department of Surgery
Perelman School of Medicine at the University of
Pennsylvania
Philadelphia, Pennsylvania;
Adjunct Associate Professor of Surgery
Department of Surgery
Uniformed Services University of the Health Sciences
Bethesda, Maryland
Ravi Chauhan, FRCA, FCAI, MBChB, Dip IMC, RCSEd
Intensive Care and Anaesthesia Consultant
Intensive Care
Royal Centre of Defence Medicine
Birmingham, United Kingdom
Kenneth J. Cherry, MD
Edwin P. Lehman Professor of Surgery
Emeritus University of Virginia Medical Center
Charlottesville, Virginia;
Consultant, Sentara Vascular Specialists Sentara
Norfolk General Hospital Eastern Virginia Medical
School
Norfolk, Virginia
Kevin K. Chung, MD
Professor and Chair
Department of Medicine
Uniformed Services University of the Health Sciences
Bethesda, Maryland
Ian D. Civil, MBChB, FRACS, FACS
Director of Trauma Services
Auckland City Hospital
Auckland, New Zealand
Jon Clasper, CBE, DSc, DPhil, DM, LLM,
FRCSEd(Orth)
Professor Emeritus & Consultant Orthopaedic Surgeon
Visiting Professor in Bioengineering
Imperial College London;
Clinical Lead
The Royal British Legion Centre for Blast Injury Studies
London, United Kingdom
William Darrin Clouse, MD
Professor of Surgery
Chief, Division of Vascular & Endovascular Surgery
University of Virginia
Charlottesville, Virginia
Lazar B. Davidovic, MD, PhD, FETCS
Head of the Clinic
Clinic for Vascular and Endovascular Surgery
Clinical Center of Serbia
Belgrade, Serbia;
Full Professor of Vascular Surgery
Faculty of Medicine
University of Belgrade
Belgrade, Serbia
v

vi List o f C on tributors
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David L. Dawson, MD
Clinical Professor
Texas A&M University
Temple, Texas;
Vascular Surgeon
Baylor Scott & White Health
Temple, Texas
Demetrios Demetriades, MD, PhD, FACS
Professor of Surgery
University of Southern California
Los Angeles, California
Joseph J. Dubose, MD, Col, MC, USAF
Professor of Surgery
University of Maryland School of Medicine
Baltimore, Maryland;
Director, C-STARS
R Adams Cowley Shock Trauma Center
University of Maryland Medical Center
Baltimore, Maryland
Philip M. Edmundson, MD
Division of Trauma and Emergency Surgery
UT Health San Antonio
San Antonio, Texas
Timothy Fabian, MD
Professor Emeritus
University of Tennessee Health Science Center
Memphis, Tennessee
David V. Feliciano, MD
Clinical Professor
Department of Surgery
University of Maryland School of Medicine
Baltimore, Maryland;
Attending Surgeon
Shock Trauma Center
University of Maryland Medical Center
Baltimore, Maryland
Charles James Fox, MD
Associate Professor of Surgery
Baltimore Shock Trauma Center Division of Vascular
Surgery
University of Maryland School of Medicine
Baltimore, Maryland
Elon Glassberg, MD, MHA, MBA
Medical Corps Israeli Defense Forces
Bar-Ilan University Faculty of Medicine
Safed
Israel
The Uniformed Services University of the Health
Sciences
Bethesda, Maryland
Peter Gogalniceanu, MEd, FRCS
Senior Surgical Registrar
Departments of Trauma and Vascular Surgery
The Royal London Hospital
London, United Kingdom
Matthew A. Goldshore
Department of Surgery
Perelman School of Medicine at the University of
Pennsylvania
Philadelphia, Pennsylvania
Eitan Heldenberg, MD
Head Department of Vascular Surgery
Hillel Yaffe Medical Center
Hadera, Israel
Joseph A. Herrold, MD, MPH
Assistant Professor
R Adams Cowley Shock Trauma Center
Baltimore, Maryland
Shehan Hettiaratchy, MA, DM,
FRCS(Plast)
Lead Surgeon
Imperial College Healthcare NHS Trust
St Mary’s Hospital
London, United Kingdom
Tal M. Hörer, MD, PhD
Associate Professor Surgery
Department of Cardiothoracic and Vascular
Surgery
Örebro University Hospital and Univeristy
Faculty of Life Sceince
Örebro, Sweden
Kenji Inaba, MD, FACS
Professor of Surgery
University of Southern California
Los Angeles, California
Michaela Gaffley, MD
General Surgery Resident
Wake Forest University School of Medicine
Winston-Salem, NC, United States
Shaun M. Gifford, MD, MS, RPVI
Chief, Vascular Surgery
David Grant Medical Center
Travis Air Force Base
California
Robert H. James, BSc, FRCEM, FIMC, RCSEd, RAF
Consultant in Emergency Medicine & Pre-hospital
Emergency Medicine
JHG(SW), University Hospitals Plymouth & Devon Air
Ambulance;
Honorary Lecturer in Military Emergency Medicine and
Pre-hospital
Retrieval and Transfer Medicine
Royal Centre for Defence Medicine & University of Plymouth
Devon, United Kingdom

List o f C on tributors vii
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Jan O. Jansen, MBBS, PhD
Center for Injury Sciences, Department of Surgery
University of Alabama at Birmingham
Birmingham, Alabama
Donald H. Jenkins, MD
Professor of Surgery, Division of Trauma and Emergency
Surgery
UT Health San Antonio
San Antonio, Texas;
Betty and Bob Kelso Distinguished Chair in Burn and
Trauma Surgery
Division of Trauma and Emergency Surgery
Associate Deputy Director, Military Health Institute
Division of Trauma and Emergency Surgery
UT Health San Antonio
San Antonio, Texas
Michael Jenkins, BSc, MS, FRCS, FRCS, FEBVS
Consultant Vascular Surgeon
Regional Vascular Unit
Imperial College
Healthcare NHS Trust
London, United Kingdom
David S. Kauvar, MD, MPH
Vascular Surgery Service
Brooke Army Medical Center
Fort Sam Houston, Texas;
Associate Professor
Department of Surgery
Uniformed Services University of the Health Sciences
Bethesda, Maryland
Alexander Kersey, MD
General Surgery Resident
Walter Reed National Military Medical Center
Bethesda, Maryland
Alexis Lauria, MD
General Surgery Resident
Walter Reed National Military Medical Center
Bethesda, Maryland
Gregory A. Magee, MD, MSc
Assistant Professor of Surgery
Department of Surgery
University of Southern California
Los Angeles, California
James E. Manning, MD
Professor of Emergency Medicine (Ret.)
Emergency Medicine
University of North Carolina
Chapel Hill, North Carolina
Miroslav Markovic, MD, PhD, FETCS, FIUA
Professor of Surgery
Faculty of Medicine
University of Belgrade
Belgrade, Serbia;
Vascular Surgeon
Clinic for Vascular and Endovascular
Surgery
Clinical Center of Serbia
Belgrade, Serbia
Ernest E. Moore, MD
Distinguished Professor and Vice Chair
for Research
University of Colorado Denver
Denver, Colorado;
Director of Research
Surgery
Ernest E Moore Trauma Shock Center
Denver, Colorado
Laura J. Moore, MD
Professor of Surgery & Chief of Surgical
Critical Care
The University of Texas McGovern
Medical School
Houston, Texas;
Medical Director
Shock Trauma Intensive Care Unit
The Red Duke Trauma Institute
Memorial Hermann Hospital—Texas Medical
Center
Houston, Texas
Jonathan J. Morrison, PhD, FRCS, FEBVS, FACS
Assistant Professor and Chief of Endovascular
Surgery
R Adams Cowley Shock Trauma
University of Maryland
Baltimore, Maryland
Sanjeewa Heman Munasinghe, RWP, RSP,VSV, USP,
MBBS, MD, FSLCR
Secretary to the Ministry of Health and Indigenous
Medical Services
Colombo, Sri Lanka;
Consultant Radiologist
Army Hospital
Colombo, Sri Lanka
Rossi Murilo, superior, mestrado
Professor of Surgery
University of Valença School of Medicine
Valença–UNIFAA
Rio de Janeiro, Brazil;
Director Executive of FES
State Health Foundation
Rio de Janeiro, Brazil;
Master’s
Vascular Surgery UFRJ (Federal University of Rio de
Janeiro)
Rio de Janeiro, Brazil
David M. Nott
Consultant Vascular and Trauma Surgeon
Regional Vascular Unit and Major Trauma Centre
Imperial Healthcare NHS Trust
London, United Kingdom

viii List o f C on tributors
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Carlos A. Ordoñez, MD, FACS
Chief, Division of Trauma and Acute Care Surgery
Fundación Valle del Lili
Cali, Colombia;
Professor of Surgery, Trauma and Critical Care
Trauma and Acute Care Surgery Fellowship
Universidad del Valle
Cali, Colombia
Allan Pang, MBChB, FRCA
Academic Department Military Anaesthesia and Critical
Care
Royal Centre for Defence Medicine
Birmingham, United Kingdom;
Specialist Anaesthesia Trainee
Anaesthestic Department
James Cook University Hospital
Middlesbrough, United Kingdom
Michael W. Parra, MD
Trauma Research Director
Trauma-Critical Care
Broward Health Level I Trauma Center
Fort Lauderdale, Florida
Douglas M. Pokorny, MD
Division of Trauma and Emergency Surgery
UT Health San Antonio
San Antonio, Texas
Assistant Professor
Department of Polytrauma
Dzhanelidze Research Institute of Emergency Medicine
Saint-Petersburg, Russian Federation
Norman Minner Rich, MD, DMCC
Professor Emeritus in Surgery
USU Walter Reed Surgery
Uniformed Services University of the Health Sciences
Bethesda, Maryland
Igor M. Samokhvalov, MD, PhD, Prof., Colonel MC (Ret)
Deputy Chief Surgeon of the Russian Army
Ministry of Defense of the Russian Federation
Moscow, Russian Federation;
Professor and Chair
Department and Clinic of War Surgery
Kirov Military Medical Academy
Saint-Petersburg, Russian Federation;
Senior Scientic Researcher
Department of Polytrauma
Dzhanelidze Research Institute of Emergency Medicine
Saint-Petersburg, Russian Federation
James B. Sampson, MD
Colonel USAF MC
Air Force Medical Readiness Agency
San Antonio, Texas
Rina Porta, MD, PhD
Vascular Interventionist Radiology
Vascular Surgery
Department of Vascular and Endovascular Surgery
Clínicas Hospital—School of Medicine University of São
Paulo—FMUSP
São Paulo, Brazil
Brandon W. Propper, MD
Vascular Surgery Program Director
Walter Reed National Military Medical Center
Associate Professor of Surgery
Uniformed Services University
Bethesda, Maryland
Amila Sanjiva Ratnayake, MBBS, MS
Consultant General Surgeon
Military Hospital
Colombo, Sri Lanka;
Adjunct Associate Professor
Uniformed Services University of the Health Sciences
Bethesda, Maryland
Viktor A. Reva, MD, PhD
Assistant Professor
Department of War Surgery
Kirov Military Medical Academy
Saint-Petersburg, Russian Federation;
Stephanie Savage, MD, MS
Professor of Surgery
Department of Surgery
University of Wisconsin
Madison, Wisconsin
Thomas M. Scalea, MD, FACS
Francis X. Kelly Professor of Trauma
Surgery, Director of Program in Trauma,
Physician-in-Chief
The University of Maryland School of Medicine
R Adams Cowley Shock Trauma Center
Baltimore, Maryland
David Schechtman, MD
General Surgery Resident
Department of General Surgery
Brooke Army Medical Center
San Antonio, Texas;
Teaching Fellow
Department of Surgery
Uniformed Services University
Bethesda, Maryland
Daniel J. Scott, MD, RPVI
Deputy Chief, Vascular Surgery
San Antonio Military Medical Center
Texas

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Niten Singh, MD
Professor of Surgery
Division of Vascular Surgery
University of Washington
Seattle, Washington
Michael J. Sise, MD , FACS
Senior Trauma and Vascular Surgeon
Scripps Mercy Hospital
San Diego, California
Jason E. Smith, MBBS, MSc, MD,
FRCP, FRCEM
Consultant in Emergency Medicine
Defence Medical Services
United Kingdom;
Defence Professor of Emergency Medicine
Academic Department of Military Emergency
Medicine
Royal Centre for Defence Medicine
Birmingham, United Kingdom;
Honorary Consultant in Emergency Medicine
Emergency Department
University Hospitals Plymouth NHS Trust
Plymouth, United Kingdom
Ian J. Stewart, MD
Deputy Vice Chair of Research
Department of Medicine
Uniformed Services University of the Health Sciences
Bethesda, Maryland
Peep Talving, MD, PhD, FACS
Professor of Surgery
Institute of Clinical Medicine
University of Tartu
Tartu, Estonia;
Director
Division of Acute Care Surgery
North Estonia Medical Center
Tallinn, Estonia
Sujeewa P.B. Thalgaspitiya, MBBS, MS
Head, Senior Lecturer
Department of Surgery
Faculty of Medicine and Allied Sciences
Rajarata University of Sri Lanka
Anuradhapura, Sri Lanka;
Consultant Surgeon
Teaching Hospital Anuradhapura
Anuradhapura, Sri Lanka
Pirkka Vikatmaa, MD, PhD
Section Chief Vascular Emergencies
Department of Vascular Surgery
Helsinki University Hospital and University of Helsinki
Helsinki, Finland
Matthew Vuoncino, MD
Integrated Vascular Surgery Resident
University of California—Davis and Travis Air Force
Base
Sacramento, California
Carl Magnus Wahlgren, MD, PhD
Chief, Senior consultant
Department of Vascular Surgery
Karolinska University Hospital
Adjunct Professor
Karolinska Institute
Stockholm, Sweden
Fred A. Weaver, MD, MMM
Professor and Chief
Division of Vascular Surgery and Endovascular
Therapy
Keck School of Medicine, University of Southern
California
Los Angeles, California
Joseph M. White, MD, FACS, FSVS
Associate Professor of Surgery
The Department of Surgery
Uniformed Services University of the Health
Sciences and Walter Reed National Military
Medical Center
Bethesda, Maryland
Paul W. White, MD
Program Director, Vascular Surgery Fellowship
Walter Reed National Military Medical Center
Bethesda, Maryland;
Associate Professor
Uniformed Services University of the Health Sciences
Bethesda, Maryland
Consultant to the Surgeon General for Vascular
Surgery
United States Army
Rebecca Joy Ur, MD
Vascular Surgery
Vascular Institute of the Rockies
Denver, Colorado
Timothy K. Williams, MD
Associate Professor
Vascular and Endovascular Surgery
Wake Forest Baptist Health
Winston-Salem, NC, United States
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