In haemodynamically stable patients, Type 1 injuries can be managed nonoperatively with aggressive heart rate and blood pressure control and serial imaging. |
However, it can cause cardiovascular depression and should be used with caution in patients who are hypotensive, hypovolaemic or haemodynamically unstable. |
The traditional evaluation of haemodynamically stable patients with a TMGSW has been angiography and either an oesophagogram or endoscopy. |