Although some ED physicians remain opposed to the idea of using tPA, the consideration of the use of thrombolytics such as tPA for stroke patients who are eligible candidates has become the public expectation
Penetrating trauma to the torso can present a complex diagnostic and therapeutic challenge. Injuries can occur to the precordium, the thoraco-abdominal region, abdomen, flank, back, and pelvis. Injuries often occur simultaneously in several body cavities. Each of these body regions may require a different approach for both diagnosis and treatment. Penetrating injury from the nipple line to the inguinal ligaments anteriorly and from the tip of the scapula to the inferior gluteal folds should prompt suspicion of intra-abdominal injury.
