# Surviving the Storm: Insights Into the Pericardial Injuries and Roller Coaster of Multisystem Trauma in Bomb‐Blast Victims

## TL;DR

This paper discusses the rare but deadly pericardial injuries from bomb blasts and highlights the importance of quick diagnosis and teamwork in treating complex trauma patients.

## Contribution

The paper presents two case studies emphasizing the importance of rapid imaging and multidisciplinary care in managing pericardial injuries from bomb blasts.

## Key findings

- Pericardial injuries from bomb-blast shrapnel are rare but have high mortality rates.
- Timely CT scans and multidisciplinary care are crucial for managing these complex injuries.
- A high index of suspicion is needed despite negative clinical features to ensure timely diagnosis.

## Abstract

Pericardial injuries due to penetrating trauma such as bomb‐blast shrapnel are rare but are associated with significant mortality. Timely diagnosis and a multidisciplinary approach are essential for effective management. This case series, comprising two cases, emphasizes the need for rapid, appropriate imaging and multidisciplinary care in the management of all associated injuries in these complex polytrauma patients. It also underscores the need for a high index of suspicion despite negative clinical features of pericardial injuries for timely performing CT scans and adaptive treatment strategies, including life‐saving surgical intervention.