Surgical repair or endovascular stenting, which may require transfer from your facility, is required.

Competing and likely overriding injuries include life-threatening head, abdominal or pelvic injuries.

Control hypertension (systolic no more than 110 mmHg) and tachycardia with appropriate analgesia +/- esmolol or labetalol.

Learning bite

Young males are the most likely candidates for aortic injury.