El corazon es un loco que no sabe de un color: O es su amor de dos colores, O dice que no hay Amor.

The Heart is a madman, That does not recognize a single color: Either his love is of two colors, Or he declares that there is no love.

JOSE MARTI, Cuban Poet and Liberator

The heart is such a unique organ, so vital and constant in its tireless function, yet so fickle once its never-ending musical rhythms are disturbed. It is never the tired worker, the strong beating never ceasing, yet so romantic in its very reason for existing. No other organ has inspired so many talented poets, writers, and musicians to create sweet and endless poems, alluring novels, and beautiful rhythms. Witness Homer's poetic description of the death of Sarpedon from the classical Greek epic The Iliad<sup>67 Homer  London: George Bell & Sons (1904).  299 Lines 588–625, Translated by Alexander Pope.

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The purpose of this article is to cover in detail all aspects of cardiac injury management, including the controversies generated by the newer diagnostic modalities such as echocardiography versus the gold standard represented by the subxiphoid pericardial window. This article also examines in great detail the topic of emergency department (ED) thoracotomy, along with the technical complexities of the surgical management of these challenging injuries.