Management of major abdominopelvic trauma requires a combination of non-operative, minimally invasive, and surgical management by a dedicated, interactive, multidisciplinary team. Patients may have multiple treatment options, and as a result, institutions should develop algorithms for the best application of local resources. The goal is rapid triage to ensure emergent surgical management whenever necessary and non-operative management whenever possible. For their part, interventional radiologists (IRs) offer 24-hour clinical consultation, expert imaging interpretation, and life-saving procedures supported by dedicated, on-call nurses and technologists. IR therapies serve a dual purpose by treating the sequelae of traumatic injury and the complications of open surgical management, resulting in organ preservation, reduced need for open surgery, reduced morbidity and mortality, and faster discharge [1, 2]. Even in cases of failed IR therapy, repeat IR procedures result in high clinical success rates with little additional risk.