{"title":"Cases","description":"\u003cp data-end=\"578\" data-start=\"438\"\u003eEach case is designed as a real-time surgical simulation.\u003cbr data-end=\"511\" data-start=\"508\"\u003e Here, it's not just trauma that's studied: decisions are made under pressure.\u003c\/p\u003e\n\u003cp data-end=\"783\" data-start=\"580\"\u003e Through real clinical scenarios, the reader faces the same dilemmas that arise in the operating room: proximal control, vascular exposure, management of massive hemorrhage, and critical decision making.\u003c\/p\u003e\n\u003cp data-end=\"819\" data-start=\"785\"\u003e Every choice has consequences.\u003c\/p\u003e\n\u003cp data-end=\"1049\" data-start=\"821\"\u003e This collection is aimed at surgeons, residents, and trauma professionals who want to train their strategic thinking, refine their clinical judgment, and strengthen their ability to act in highly complex scenarios.\u003c\/p\u003e\n\u003cp data-end=\"1111\" data-start=\"1051\"\u003e Welcome to decision-making training in penetrating trauma.\u003c\/p\u003e","products":[{"product_id":"caso-1-herida-toracica-derecha-con-lesion-del-hilio-pulmonar","title":"Caso 1 (ES): Herida torácica derecha con lesión del hilio pulmonar","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cspan data-path-to-node=\"4,0\"\u003ePaciente de 17 años con trauma penetrante en\u0026nbsp; hemitórax derecho y paro cardíaco durante el traslado. \u003c\/span\u003e\u003cspan data-path-to-node=\"4,1\"\u003e\u003cspan class=\"citation-32\"\u003e\u003c\/span\u003e\u003c\/span\u003e\u003cspan data-path-to-node=\"4,2\"\u003e\u003cspan class=\"citation-32\"\u003eDecide el abordaje de resucitación (toracotomía vs. esternotomía), la maniobra de control vascular y el momento crítico para retirar el clamp.\u003c\/span\u003e\u003c\/span\u003e\u003cbr\u003e\u003c\/p\u003e","brand":"Penetrating Trauma Special O.P.S","offers":[{"title":"Default Title","offer_id":53106899517600,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASO1.png?v=1771879853"},{"product_id":"case-1-right-thoracic-wound-with-pulmonary-hilum-injury","title":"Case 1 (EN): Right Thoracic Wound with Pulmonary Hilum Injury","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e 17-year-old patient with penetrating trauma to the right hemithorax and cardiac arrest during transport. Decide on the resuscitation approach (thoracotomy vs. sternotomy), the vascular control maneuver, and the critical moment to remove the clamp.\u003cbr\u003e\u003c\/p\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":53106950537376,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASE1.png?v=1771879852"},{"product_id":"case-2-transmediastinal-trauma-with-aortic-arch-injury","title":"Case 2 (EN): Transmediastinal Trauma with Aortic Arch Injury","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cmeta charset=\"utf-8\"\u003e Patient presenting with a precordial wound and widened mediastinum. Confront massive intraoperative haemorrhage, decide on hybrid techniques (REBOA\/Digital control), and manage a complex injury to the posterior aspect of the aorta.\u003cbr\u003e\u003c\/p\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":53106951389344,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASE2.png?v=1771879853"},{"product_id":"caso-2-trauma-transmediastinal-con-lesion-del-arco-aortico","title":"Caso 2 (ES): Trauma transmediastinal con lesión del arco aórtico","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cspan\u003ePaciente con herida precordial y ensanchamiento mediastinal. Enfréntate a una hemorragia masiva intraoperatoria, decide el uso de técnicas híbridas (REBOA\/Dedo) y gestiona una lesión compleja en la cara posterior de la aorta.\u003c\/span\u003e\u003cbr\u003e\u003c\/p\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":53106951815328,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASO2.png?v=1771879853"},{"product_id":"case-template-en","title":"Case TEMPLATE (EN):","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cmeta charset=\"utf-8\"\u003eDESCRIPTION\u003cbr\u003e\u003c\/p\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":56791119921312,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}]},{"product_id":"caso-2-es-trauma-transmediastinal-con-lesion-del-arco-aortico-copy","title":"Case TEMPLATE (ES):","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cspan\u003eDESCRIPTION\u003c\/span\u003e\u003cbr\u003e\u003c\/p\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":56791130374304,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}]},{"product_id":"caso-3-es-multiples-heridas-por-arma-de-fuego-en-el-torso-por-donde-empezar-copy","title":"Caso 3 (ES): Múltiples heridas por arma de fuego en el torso. ¿ Por dónde empezar?","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e\u003cmeta charset=\"utf-8\"\u003ePaciente con múltiples heridas por arma de fuego en cara, cuello, extremidades y torso. Ingresa con compromiso crítico de la vía aérea por sangrado orofaríngeo y choque hemorrágico. Afronte el manejo urgente de la vía aérea, active reanimación con protocolo de transfusión masiva y tome decisiones rápidas para identificar y controlar lesiones potencialmente letales ocultas.\u003cbr\u003e\u003c\/p\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":56791546691744,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASO3.png?v=1771879852"},{"product_id":"case-3-en-multiple-penetrating-trauma-where-to-begin-copy","title":"Case 3 (EN): Multiple Penetrating Trauma: Where to Begin?","description":"\u003carticle class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [\u0026amp;:has([data-writing-block])\u0026gt;*]:pointer-events-auto scroll-mt-(--header-height)\" dir=\"auto\" data-turn-id=\"e4aff5d8-889e-42ac-a495-34d5e7d54d32\" data-testid=\"conversation-turn-5\" data-scroll-anchor=\"false\" data-turn=\"user\" tabindex=\"-1\"\u003e\u003c\/article\u003e\n\u003carticle class=\"text-token-text-primary w-full focus:outline-none [--shadow-height:45px] has-data-writing-block:pointer-events-none has-data-writing-block:-mt-(--shadow-height) has-data-writing-block:pt-(--shadow-height) [\u0026amp;:has([data-writing-block])\u0026gt;*]:pointer-events-auto scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" data-turn-id=\"request-WEB:81fca26e-53a7-4688-8e22-ca7308f2dc9f-3\" data-testid=\"conversation-turn-6\" data-scroll-anchor=\"true\" data-turn=\"assistant\" tabindex=\"-1\"\u003e\n\u003cdiv class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] @w-sm\/main:[--thread-content-margin:--spacing(6)] @w-lg\/main:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\"\u003e\n\n\u003cdiv class=\"[--thread-content-max-width:40rem] @w-lg\/main:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\"\u003e\n\n\u003cdiv class=\"flex max-w-full flex-col grow\"\u003e\n\n\u003cdiv data-message-author-role=\"assistant\" data-message-id=\"f02eab09-5e41-42f1-a9e3-ed83056ab457\" dir=\"auto\" data-message-model-slug=\"gpt-5-3\" class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+\u0026amp;]:mt-1\"\u003e\n\n\u003cdiv class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[1px]\"\u003e\n\n\u003cdiv class=\"markdown prose dark:prose-invert w-full wrap-break-word dark markdown-new-styling\"\u003e\n\n\u003cp data-start=\"0\" data-end=\"412\" data-is-last-node=\"\" data-is-only-node=\"\"\u003e Patient with multiple gunshot wounds to the face, neck, chest, abdomen, and extremities. He arrives with active oropharyngeal bleeding, causing airway compromise and hemorrhagic shock. Manage the immediate airway threat, initiate massive transfusion and damage control resuscitation, and rapidly determine the priority interventions to control potentially life-threatening occult injuries. \u003c\/p\u003e\n\n\n\u003c\/div\u003e\n\n\n\u003c\/div\u003e\n\n\n\u003c\/div\u003e\n\n\n\u003c\/div\u003e\n\n\n\u003c\/div\u003e\n\n\n\u003c\/div\u003e\n\n\u003c\/article\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":56791548821664,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASE3.png?v=1771879852"},{"product_id":"caso-4-es-heridas-por-arma-de-fuego-en-el-torso-no-dejarse-confundir","title":"Caso 4 (ES): Heridas por arma de fuego en el torso. No dejarse confundir!","description":"\u003cp class=\"p1\"\u003e\u003cstrong\u003eAviso Importante:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"p1\"\u003eEste caso incluye acceso a ambas versiones: español e inglés\u003c\/p\u003e\n\u003cp class=\"text-body text-assistant-primary break-words mb-[var(--chat-item-gap)] last:mb-0\"\u003ePaciente de 27 años que ingresa como urgencia vital con múltiples heridas por proyectil de arma de fuego. Presenta choque hemorrágico profundo (PA 50\/30 mmHg), hipoxemia crítica (SatO2 60 %), hipotermia y compromiso neurológico (Glasgow 7\/15). Los proyectiles atraviesan el tórax, el abdomen y las extremidades — sin que ningún orificio visible te diga aún cuántas cavidades están comprometidas ni en qué orden debes actuar.\u003c\/p\u003e\n\u003cp class=\"text-body text-assistant-primary break-words mb-[var(--chat-item-gap)] last:mb-0\"\u003e\u003cstrong class=\"text-body-medium text-assistant-primary\"\u003e¿Por dónde empiezas?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"text-body text-assistant-primary break-words mb-[var(--chat-item-gap)] last:mb-0\"\u003eEste caso entrena la priorización quirúrgica en trauma penetrante múltiple: control de la vía aérea definitiva, resucitación hemostática vs cristaloides, identificación de cavidades comprometidas y decisión de cirugía de control de daños. Cada elección tiene consecuencias inmediatas con retroalimentación clínica detallada.\u003c\/p\u003e\n\u003cp class=\"text-body text-assistant-primary break-words mb-[var(--chat-item-gap)] last:mb-0\"\u003e\u003cstrong class=\"text-body-medium text-assistant-primary\"\u003eDuración estimada:\u003c\/strong\u003e\u003cspan\u003e \u003c\/span\u003e60 – 90 minutos\u003cbr\u003e\u003cstrong class=\"text-body-medium text-assistant-primary\"\u003eAcceso:\u003c\/strong\u003e\u003cspan\u003e \u003c\/span\u003eInmediato tras la compra · Pago único · Sin vencimiento\u003c\/p\u003e","brand":"Penetrating Trauma Special O.P.S","offers":[{"title":"Default Title","offer_id":56945371054240,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASO_4_1.png?v=1776811354"},{"product_id":"case-4-en","title":"Case 4 (EN): Multiple torso gunshot wounds. Don't get confused!","description":"\u003cdiv\u003e\n\u003cp class=\"p1\"\u003e\u003cb\u003eImportant notice:\u003c\/b\u003e\u003c\/p\u003e\n\u003cp class=\"p1\"\u003eThis case includes both English and Spanish versions.\u003cb\u003e\u003c\/b\u003e\u003c\/p\u003e\n\u003cspan\u003eA 27-year-old arrives as a life-threatening emergency with multiple gunshot wounds. He is in severe hemorrhagic shock (BP 50\/30 mmHg), critical hypoxemia (O₂ sat 60%), hypothermia, and neurological compromise (Glasgow Coma Scale 7\/15). Bullets have penetrated his chest, abdomen, and extremities, but no visible entry wounds indicate which cavities are affected or what order to address them.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan\u003e\u003c\/span\u003e\u003cbr\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\u003cspan\u003eAre you ready to make critical, life-saving decisions? Start your training now.\u003c\/span\u003e\u003c\/div\u003e\n\u003cdiv\u003e\u003cspan\u003eThis case trains you in surgical prioritisation for multiple penetrating trauma: definitive airway management, hemostatic resuscitation vs crystalloids, identification of compromised cavities, and decision-making for damage control surgery. Every choice has immediate consequences with detailed clinical feedback.\u003c\/span\u003e\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan\u003e\u003c\/span\u003e\u003cbr\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan\u003eEstimated duration: 60–90 minutes\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eAccess: Immediate upon purchase · One-time payment · No expiration\u003c\/span\u003e\n\u003c\/div\u003e","brand":"Penetrating Trauma Special O.P.S","offers":[{"title":"Default Title","offer_id":56948976779424,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASE4_1.png?v=1776896873"},{"product_id":"trauma-systems-ingenuity-vs-infrastructure","title":"Case 5 (EN) Trauma systems: Ingenuity vs Infrastructure","description":"\u003cp data-start=\"0\" data-end=\"57\"\u003e\u003cstrong data-start=\"0\" data-end=\"57\"\u003eThis case includes both English and Spanish versions.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp data-start=\"59\" data-end=\"510\"\u003eA 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.\u003c\/p\u003e\n\u003cp data-start=\"512\" data-end=\"597\"\u003e\u003cstrong data-start=\"512\" data-end=\"597\"\u003eAre you ready to decide before the patient deteriorates? Start your training now.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp data-start=\"599\" data-end=\"928\"\u003eThis case trains you in the evaluation and prioritization 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.\u003c\/p\u003e\n\u003cp data-start=\"930\" data-end=\"1041\" data-is-last-node=\"\" data-is-only-node=\"\"\u003e\u003cstrong data-start=\"930\" data-end=\"953\"\u003eEstimated duration:\u003c\/strong\u003e 60–90 minutes\u003cbr data-start=\"967\" data-end=\"970\"\u003e\u003cstrong data-start=\"970\" data-end=\"981\"\u003eAccess:\u003c\/strong\u003e Immediate upon purchase · One-time payment · No expiration.\u003c\/p\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":57441584611488,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASE5.png?v=1780093408"},{"product_id":"caso-5-es-sistemas-de-trauma-infraestructura-vs-ingenuidad","title":"Caso 5 (ES) Sistemas de trauma: Infraestructura vs Ingenuidad","description":"\u003cp class=\"isSelectedEnd\"\u003e\u003cstrong\u003e\u003cspan\u003eAviso importante:\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"isSelectedEnd\"\u003e\u003cspan\u003eEste caso incluye acceso a ambas versiones: español e inglés.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"isSelectedEnd\"\u003e\u003cspan\u003eUn adolescente de 16 años.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eMotociclista profesional.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eHerida por proyectil de arma de fuego en el tórax posterior derecho.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eCaída a gran velocidad contra un árbol.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"isSelectedEnd\"\u003e\u003cspan\u003eIngresa a un centro de trauma de nivel II, aparentemente estable.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eVía aérea permeable.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eSatO₂ 97 % al aire ambiente.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eSin sangrado externo.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eGlasgow 15\/15.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"isSelectedEnd\"\u003e\u003cspan\u003ePero grita de dolor.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eLa trayectoria del proyectil cruza la región toracoabdominal derecha.\u003c\/span\u003e\u003cbr\u003e\u003cspan\u003eY los signos vitales iniciales no descartan una lesión grave oculta.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"isSelectedEnd\"\u003e\u003cspan\u003eLa pregunta no es si el paciente parece estable.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"isSelectedEnd\"\u003e\u003cspan\u003eLa pregunta es: \u003c\/span\u003e\u003cstrong\u003e\u003cspan\u003e¿Qué lesión puede pasar desapercibida antes de que se deteriore?\u003c\/span\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"isSelectedEnd\"\u003e\u003cspan\u003eEste caso entrena en la toma de decisiones en trauma penetrante toracoabdominal: interpretación de la trayectoria del proyectil, identificación de lesiones ocultas, priorización diagnóstica y selección oportuna entre observación, escanografía y manejo quirúrgico.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cspan\u003eDuración estimada:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan\u003e 60–90 minutos\u003c\/span\u003e\u003cbr\u003e\u003cstrong\u003e\u003cspan\u003eAcceso:\u003c\/span\u003e\u003c\/strong\u003e\u003cspan\u003e Inmediato tras la compra · Pago único · Sin vencimiento\u003c\/span\u003e\u003c\/p\u003e","brand":"Penetrating Trauma Special Ops","offers":[{"title":"Default Title","offer_id":57442038218912,"sku":null,"price":95000.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/CASE5_1.png?v=1780093409"}],"url":"https:\/\/www.penetratingtrauma.org\/en-global\/collections\/casos.oembed","provider":"Penetrating Trauma Special Ops","version":"1.0","type":"link"}