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In this episode, Jan and Kenji dive into high-stakes trauma pearls every clinician should know. They break down the near-zero miss rate of modern CT scanners for hollow viscus and bucket-handle injuries in patients with an abdominal seatbelt sign—while reminding us why return precautions and clinical judgment still matter. They also explore the role of REBOA as a bridge to definitive therapy, particularly in hypotensive blunt trauma patients with pelvic fractures, and discuss when to consider thoracic cavity irrigation to prevent secondary interventions in hemothorax cases. Tune in for sharp insights, practical applications, and real-world trauma wisdom you can use on your next shift. Make sure to check out the FULL video on emrap.org ✔ Subscribe today: https://www.emrap.org/subscribe ✔ Newsletter sign up: https://www.emrap.org/newsletter ✔ Donate to our non-profit, EM:RAP Global Outreach: https://www.emrapgo.org/ EM:RAP on Social Media: ► Follow on Twitter: / emrap_tweets ► Like on Facebook: / emergencymedicine ► Follow on Instagram: https://www.instagram.com/emrapshow/?... ► Subscribe on YouTube: / emrapmedical Visit https://www.emrap.org/ for all your Emergency Medicine education! #emrap #emergencymedicine #urgentcare #meded