The cardiac box has been used to guide the management of trauma patients for decades. However, improper imaging can lead to erroneous assumptions about operative management in this patient population. In this study, we used a thoracic model to demonstrate imaging’s effect on chest radiography. The data demonstrate that even small changes in rotation can lead to large discrepancies in results.
StranchEWZarzaurBLSavageSA. Thinking outside the box: re-evaluating the approach to penetrating cardiac injuries. Eur J Trauma Emerg Surg. 2017;43(5):617-622.
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BrooksABowleyDMGBoffardKD. Bullet markers--a simple technique to assist in the evaluation of penetrating trauma. J Roy Army Med Corps. 2002;148(3):259-261.