Double jeopardy avoided by thorough investigation

Penetrating junctional torso trauma with multiple and complex injuries presents the clinician with many investigational and management decisions.(1-3) This situation has been termed double jeopardy in the literature.(4-6) The management of this multiple gunshot victim's injuries - massive haemothorax and Severe liver and kidney injuries - describes how this pathway can be negotiated with a successful outcome.(6)