Case Discussion:
Stabbing injury to chest with lacerations to epicardium, pericardium, lung and transection of internal mammary artery.
Discussion:
General approach to penetrating chest 'in the box' chest injuries in the context of a regional trauma service without cardiothoracic capabilities.
Principles of damage control/low-volume resuscitation including MTP within the same context, acknowledging prolonged MTP in an ED is uncommon as patients will usually die or are transferred to an operating theatre.  Application of best available evidence in front-line clinical circumstances, with practical advice/approach.
Discussion of logistical challenges arranging transfer to major trauma service for patients undergoing active MTP.