ABSTRACT
Once bleeding has been temporarily controlled and before the injury is exposed and addressed directly, it is prudent to pause the operation and spend time on optimizing the OR team effort. Sufficient quantities of blood products are brought to the OR in preparation for massive blood loss, rapid infusion and autotransfusion devices are hooked up and activated, a full vascular tray is deployed, and exposure is improved.(7) Only then, when everything is prepared and the team is ready, should the vascular repair begin.
