A-048 16 Trauma is a serious global health problem, accounting for approximately one in ten deaths worldwide. Injuries of CNS and great vessels are responsible for death at the site of accident while visceral haemorrhage is the principal cause of mortality during the first following hours after a trauma. The role of the interventional radiologist (IR) has changed dramatically during the past decades. It is now possible to temporise or definitively treat polytrauma with endovascular techniques. Imaging in the evaluation of patients with blunt abdominal trauma is fundamental in order to "Control the Uncontrollable bleedings" which is the main role of interventional radiology in damage control. Based on the spectrum of injury, interventional techniques are a solid alternative not only in spleen, liver, kidneys, pancreas and adrenal injuries, but also in pelvic fractures. Patient selection for treatment and follow-up is mainly governed by vascular imaging focused on MDCT, especially 3-D CT reconstructions. CT is a good predictor of the need for endovascular management or conservative treatment, based on key findings. Key images that may alter management will be discussed. The role of IR depends on local practice and carries broad applications where getting the patient to IR-angiosuite/hybrid-room is the first challenge. Finally, IR can control most haemorrhages and this is done in a multidisciplinary approach with proactive management to reduce haemorrhage and allow appropriate surgery. Various angiographic techniques have the potential of definite treatment even in case of marginal haemodynamic instability. Learning Objectives: