Despite recent advances in technology, subclavian vessel injury secondary to penetrating chest trauma still carries an unacceptably high mortality of approximately 35%. Many patients suffering from these injuries succumb to their injuries well before they ever arrive to the hospital, and those that make it still face a difficult challenge in order to survive. The reasons for this are mainly two-fold: (1) the rapid rate of exsanguination from large vessels, and (2) the clavicles and bony structures of the chest wall make obtaining rapid vascular control difficult. A 35-year old male presented to the emergency department after sustaining multiple thoracoabdominal stab wounds. He was hypotensive, with rapid hemorrhage from a stab wound at the base of his right neck, as well as multiple abdominal wounds through which small bowel had eviscerated. His abdomen was rapidly becoming distended, and thus he was taken to the operating room for exploration. Given the multi-cavitary nature of his injuries, the team was faced with the dilemma of where to explore first. Although the stab wound to the neck was packed and digital pressure applied, it was evident that hemostasis had not been achieved. Thus, a foley catheter was introduced into the wound and advanced until resistance was met. The balloon was then inflated and the catheter secured in place. After hemostasis was obtained in the abdomen, subsequent median sternotomy demonstrated that the balloon had successfully tamponaded a combined arteriovenous subclavian injury, including a complete transection of the junction of his jugular and subclavian veins.