ABSTRACT
Operative Principles Rapid vascular control of the aorta requires timely diagnosis and decisive tran-
portation to the operating room. Delayed resuscitation until bleeding is controlled decreases dilution-related coagulopathy. Therefore, after the diagnosis is made either clinically or on cross-sectional imaging, expedient transportation to the operating room is mandatory. Prelaparotomy transbrachial or transfemoral aortic occlusion balloon under local anesthetic may be feasible in some centers with hybrid operating room capabilities.
