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Emerg Med Pract. 2019 Mar;21(3):1-20. Epub 2019 Mar 1.

Blunt cardiac injury: emergency department diagnosis and management.

Author information

1
Associate Professor, Clinical Director, Department of Emergency Medicine, Deputy Chief Medical Informatics Officer, Stony Brook Medicine, Stony Brook, NY.
2
Assistant Professor, Department of Emergency Medicine, Stony Brook Medicine, Stony Brook, NY.
3
Associate Professor, Department of Emergency Medicine, Stony Brook Medicine, Stony Brook, NY.
4
Associate Professor, Residency Program Director, SUNY Upstate Medical University, Syracuse, NY.

Abstract

Blunt cardiac injury describes a range of cardiac injury patterns resulting from blunt force trauma to the chest. Due to the multitude of potential anatomical injuries blunt force trauma can cause, the clinical manifestations may range from simple ectopic beats to fulminant cardiac failure and death. Because there is no definitive, gold-standard diagnostic test for cardiac injury, the emergency clinician must utilize an enhanced index of suspicion in the clinical setting combined with an evidence-based diagnostic testing approach in order to arrive at the diagnosis. This review focuses on the clinical cues, diagnostic testing, and clinical manifestations of blunt cardiac injury as well as best-practice management strategies.

PMID:
30794369

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