Cardiac contusion: Difference between revisions
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==Background==
===Commotio Cordis===
*Specific type
*Most common cause of cardiac death in athlete
*sudden death w/o abnl heart from trauma to cw at vent depolarization= vf & death.
==Diagnosis==
==Diagnosis==
*Physical
*Physical

Revision as of 05:08, 18 July 2011

Diagnosis

  • Physical
    • New murmur
  • EKG
    • most common abnormality in order
      • Sinus tachy
      • PVCs
      • A. fib
  • do NOT need enzymes

Treatment

  1. Treat arrythmia prn
    1. Do NOT treat prophylacticly (incr mort!)
  2. NO thrombolitics for AMI here (incr mort)

severity depends on underlying cad b/c inflamm chngs= redistribute coronary flow that may= ischemic cp.

Disposition

Observation for 6 hours

Admit (tele) for:

  1. abnl physical
  2. abnl ekg
  3. hypotension

See Also

Thoracic Trauma

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