Triage and Outcome of Patients with Mediastinal Penetrating Trauma

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

“…280,281 Penetrating aortic trauma injures the aorta from outside to inside, does not have a predilection for site, and is usually fatal. 280,[282][283][284] Blunt aortic injuries (BAIs) are far more common and are therefore the focus of this review.…”

Cardiac and great vessel injuries after chest trauma: our 10-year experience

“…If mediastinal enlargement or a considerable amount of pericardial effusion was evident, TTE was performed to clarify the diagnosis and to assess myocardial performance, valve functions, and integrity of the atrioventricular septum. Burack et al [8] noted that unstable patients with mediastinal injuries require surgery, but in stable cases, TTE and chest CT are effective screening tools. All stable patients in the current series eventually underwent surgical exploration.…”

Mediastinal impalement with a fibreglass sheet

“…(2) The most important principle in the management of patients with mediastinal impalement injuries is to leave the impaled foreign object in situ. Once the usual trauma management principles have been followed, removal of the impaled object should be performed within a well-controlled environment such as an operating theatre.…”