Commotio cordis: Difference between revisions
No edit summary |
|||
| Line 7: | Line 7: | ||
*Second most common cause of death in young athletes after HOCM | *Second most common cause of death in young athletes after HOCM | ||
**Seen in sports where hard projectiles are used, e.g. baseball, hockey and lacrosse | **Seen in sports where hard projectiles are used, e.g. baseball, hockey and lacrosse | ||
==Clinical Features== | |||
*Cardiac arrest, usually ventricular fibrillation. | |||
==Differential Diagnosis== | |||
{{Thoracic trauma DDX}} | |||
==Diagnosis== | |||
*Clinical | |||
==Management== | |||
*Standard [[Adult Pulseless Arrest|adult]] or [[Pediatric Pulseless Arrest|pediatric]] cardiac arrest management | |||
==Disposition== | |||
*Admit to ICU if ROSC is achieved | |||
*See [[Post Cardiac Arrest]] | |||
==See Also== | ==See Also== | ||
[[Thoracic Trauma]] | [[Thoracic Trauma]] | ||
== | ==References== | ||
<References/> | |||
[[Category:Cards]] | [[Category:Cards]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 10:29, 24 July 2015
Background
- Primary electrical event resulting in induction of Vfib
- Due to blow occurring 10-30ms before peak of T wave
- Often results from innocent-appearing chest wall blow
- Usually insufficient to cause damage to ribs, sternum, or heart
- Autopsy results usually show normal cardiac anatomy
- Second most common cause of death in young athletes after HOCM
- Seen in sports where hard projectiles are used, e.g. baseball, hockey and lacrosse
Clinical Features
- Cardiac arrest, usually ventricular fibrillation.
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Diagnosis
- Clinical
Management
Disposition
- Admit to ICU if ROSC is achieved
- See Post Cardiac Arrest