Vascular trauma, or damage to a blood vessel, can happen to anyone. Often the result of an accident or injury, a vascular trauma can be mild, moderate, or severe. Some common symptoms of vascular trauma are bleeding, bruising, and fractured bones. Patients with extremity vascular trauma present daily in emergency departments (EDs) and trauma centers worldwide. Although much of the current state-of-the-art information is the result of wartime observations, the incidence of civilian extremity vascular trauma is significant. A basic understanding of both blunt and penetrating injuries to the extremities and the resultant vascular abnormalities that occur with these injuries helps minimize mortality and morbidity in these patients. Civilian extremity vascular injury, as with the wartime experience, is most prevalent in cases of penetrating trauma [3] ; however, in contrast to the military experience, penetrating trauma in the civilian setting is usually due to knife wounds or low-velocity handgun injuries.   Fortunately, high-velocity assault weapon injuries and explosive injuries are less common in the United States. Citations are important for a journal to get impact factor. Impact factor is a measure reflecting the average number of citations to recent articles published in the journal. The impact of the journal is influenced by impact factor, the journals with high impact factor are considered more important than those with lower ones. This information can be published in our peer reviewed journal with impact factors and are calculated using citations not only from research articles but also review articles (which tend to receive more citations), editorials, letters, meeting abstracts, short communications, and case reports. The etiology of civilian vascular trauma is either blunt or penetrating injury. Most series report a 10% to 15% incidence of blunt injuries, mostly from motor vehicle accidents. The remaining injuries are penetrating, with about 50% firearm injury and 30% to 40% from sharp instruments such as knives or glass. Arterial injuries are most common, and isolated venous injuries are least common.5 A venous injury is more likely to occur in combination with arterial injury. Traumatic vascular injuries are most common in the extremities, which account for 75% of vascular injury.