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.