admitted through emergency room of Jinnah

Severe peripheral vascular injuries account for4-6 % of major trauma.1 During World War II, arterial ligation was the mainstay of treatment with an amputation rate of 72%,2 which fell to 32%3 in Korean War due to developments in vascular surgical techniques. The principles learnt during the major military conflicts have been translated into civilian practice and recent studies reveal an amputation rate of less than 5%.4 There has been a global rise in the incidence of extremity vascular trauma due to terrorist violence and high-spee