1) Vascular injuries have increased in recent decades due to assaults with firearms, motor vehicle crashes, and invasive medical procedures. 2) Vascular injuries can be either blunt or penetrating trauma. Hard signs of arterial injury like hemorrhage or pulse deficit require prompt exploration while soft signs may require further investigation. 3) Early management of vascular trauma focuses on ABCs, compression, IV fluids, splinting fractures, and reevaluation to determine if further investigation or surgery is needed.