This case includes both English and Spanish versions.

In movies, a shoulder wound is often portrayed as a minor setback: the character gets bandaged, takes a breath, and keeps moving. In real life, an injury in this region may conceal a far more dangerous scenario.

This interactive case follows a young man who sustains a gunshot wound during an assault after leaving a bank and is urgently transported to a high-acuity trauma centre. From the moment he arrives in the trauma bay, the reader is challenged to make critical decisions involving upper thoracic penetrating trauma, haemorrhage control, hemostatic resuscitation, early vascular assessment, and EFAST interpretation.

Designed for surgeons, residents, fellows, emergency physicians, and trauma teams seeking to strengthen decision-making in high-pressure scenarios, where an apparently localised wound may represent a life-threatening injury.

Estimated duration: 60–90 minutes
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