Category: Visual Diagnosis
A 25-year-old male was brought in by EMS with a stab wound to the chest. What's the diagnosis?
Differential Diagnosis: Bronchial injury, Diaphragm injury, Hemothorax, Tension Pneumothorax, Aortic Transection, Esophageal injury, Pneumomediastinum
Evaluation: Ultrasound (FAST Exam), CXR, CTA in stable patients, ECG, troponin.
Management: Penetrating cardiac trauma require emergent thoracotomy, pericardial window.
Clancy K, Velopulos C, Bilaniuk JW, et al. Screening for blunt cardiac injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(5 Suppl 4):S301-6.
El-menyar A, Al thani H, Zarour A, Latifi R. Understanding traumatic blunt cardiac injury. Ann Card Anaesth. 2012;15(4):287-95.
Tintinalli's 7th Edition. Emergency Medicine Manual. Chapter 164: Cardiothoracic Trauma.