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

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.