Cardiac contusion

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Background

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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