Cardiac contusion: Difference between revisions
(updated formatting, added references section - will need further clean-up) |
|||
| Line 27: | Line 27: | ||
==Treatment== | ==Treatment== | ||
#Treat arrhythmia prn | #Treat arrhythmia prn | ||
# | #*Do NOT treat prophylacticly (increased mortality!) | ||
#NO thrombolitics for AMI here ( | #NO thrombolitics for AMI here (increased mortality) | ||
severity depends on underlying | severity depends on underlying CAD because of inflammatory changes= redistribute coronary flow that may= ischemic cp. | ||
==Disposition== | ==Disposition== | ||
Revision as of 23:45, 19 July 2015
Background
- MVC with chest striking the steering wheel
Clinical Features
- Chest pain
- Palpitations
- Tachy
- Dyspnea/SOB
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Diagnosis
- Physical
- New murmur
- EKG
- most common abnormality in order
- Sinus tachy
- PVCs
- A. fib
- Dysrythmia can be delayed for up to 12 hours
- most common abnormality in order
- Do NOT need enzymes but can help dx
- Positive Trop
- Echo
- Can aid in further determining the extent of damage
Treatment
- Treat arrhythmia prn
- Do NOT treat prophylacticly (increased mortality!)
- NO thrombolitics for AMI here (increased mortality)
severity depends on underlying CAD because of inflammatory changes= redistribute coronary flow that may= ischemic cp.
Disposition
Observation for 6 hours
Admit (tele) for:
- abnl physical
- abnl ekg
- hypotension