BACKGROUND: Blunt @entity130 (BTAI) is the second most common cause of @entity204 in @entity130 @entity1 . Eighty percent of @entity1 with BTAI will die before reaching a @entity130 center. The issues of how to diagnose, treat, and manage BTAI were first addressed by the Eastern Association for the Surgery of @entity130 (EAST) in the practice management guidelines on this topic published in 2000. Since that time, there have been advances in the management of BTAI. As a result, the EAST guidelines committee decided to develop updated guidelines for this topic using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework recently adopted by EAST. METHODS: A systematic review of the MEDLINE database using PubMed was performed. The search retrieved English language articles regarding BTAI from 1998 to 2013. Letters to the editor, case reports, book chapters, and review articles were excluded. Topics of investigation included imaging to diagnose BTAI, type of operative repair, and timing of operative repair. RESULTS: Sixty articles were identified. Of these, 51 articles were selected to construct the guidelines. CONCLUSION: There have been changes in practice since the publication of the previous guidelines in 2000. Computed tomography of the chest with intravenous contrast is strongly recommended to diagnose clinically significant BTAI. Endovascular repair is strongly recommended for @entity1 without contraindications. Delayed repair of BTAI is suggested, with the stipulation that effective blood pressure control must be used in these @entity1 .

Evaluation and management of blunt XXXX : a practice management guideline from the Eastern Association for the Surgery of @entity130 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumatic aortic injury', 'Trauma', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['traumatic aortic injury']
