Temporary intravascular shunts (TIVS) are an important tool for rapid haemorrhage control and restoration of perfusion in vascular trauma prior to definitive repair. Although there is increasing retrospective evidence supporting the use of TIVS in trauma, reports describing its use in a clinical context are limited. We present the management of a 16-year-old female patient with a complete transection of the right brachial artery, following a close-range high velocity penetrating gunshot wound. Due to the unique challenges posed in a regional setting, lack of formal vascular expertise on-site, and inability to transfer to a vascular trauma centre, a Temporary Intravascular Shunt (TIVS) was employed using a paediatric feeding tube to revascularise the limb. This article highlights the successful temporary revascularization approach and the importance of resourcefulness in managing complex vascular trauma in non-specialised centres.