• Understand the Pathophysiology and Clinical Presentation • Describe the mechanisms and systemic effects of compartment syndrome and reperfusion injury. • Recognize signs and symptoms of vascular trauma and ischemia in extremity injuries. • Analyze Critical Care Management Strategies • Review ICU stabilization protocols including ventilation, inotropic support, and renal replacement therapy. • Discuss the role of multidisciplinary care in managing complex trauma cases. • Explore Surgical and Resuscitative Decision-Making • Evaluate indications for damage-control surgery versus definitive repair. • Understand the criteria and timing for limb amputation in vascular trauma. • Identify and Manage Complications • Discuss complications such as rhabdomyolysis, acute kidney injury, and multi-organ failure. • Review strategies for managing reperfusion injury and its systemic consequences. • Apply Evidence-Based Interventions • Examine the use of massive transfusion protocols, anticoagulation, and fasciotomy techniques. • Review pharmacologic and supportive measures for metabolic derangements. • Reflect on System-Level Challenges and Improvements • Identify system deficiencies such as delays in blood product mobilization and lack of vascular trauma protocols. • Propose quality improvement strategies including early activation of MTP and access to hybrid ORs. • Promote Clinical Reasoning and Team Communication • Encourage discussion on uncertainty in trauma care, timing of interventions, and resource allocation. • Highlight the importance of early team-based decision-making in limb salvage versus amputation.