The immediate lifesaving management of maxillofacial, life-threatening haemorrhages due to IED and/or shrapnel injuries: “When hazard is in hesitation, not in the action”

In a massive casualties arenas, where time = lifesaving, we should need to replace “non-battlefield” civilian techniques with “time driven”, combat management for IEDs injuries. In these cases, the immediate and effective compression tamponade using digital, Foley catheter tamponade, packs and/or vessels ligation for severe facial/neck haemorrhage were used successfully.