This case includes both English and Spanish versions.

A 16-year-old professional motorcycle racer arrives at a level II trauma facility after being shot during an attempted robbery and crashing at high speed into a tree. He appears initially stable, with a patent airway, normal oxygenation, and no external bleeding; however, a gunshot wound to the right posterior torso with a possible anterior exit wound, abdominal distension, and epigastric pain raise concern for a concealed thoracoabdominal injury.

Are you ready to decide before the patient deteriorates? Start your training now.

This case trains you in the evaluation and prioritisation of apparently stable penetrating thoracoabdominal trauma: recognition of occult injury, interpretation of projectile trajectory, early identification of compromised cavities, and decision-making in a level II trauma setting. Every choice may change the patient’s outcome.

Estimated duration: 60–90 minutes
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