BLUNT CARDIAC INJURY
Dušica Janković1, Saša Ignjatijević1, Tatjana Mićić1, Snežana Mitrović1, Milan Elenkov2, Bejtula Ajeti3
1Emergency Medical Institute, Niš, Serbia, 2 General hospital Pirot, Department of Anaesthesiology, Serbia, 3Health center Bujanovac, Emergency Medical Service
INTRODUCTION: Trauma is one of the leading causes of death worldwide. Blunt cardiac injuries (BCI) are generally seen in the setting of high impact trauma. Motor vehicle crashes, pedestrians being struck by motor vehicles and trauma secondary to falls are the most often causes of blunt cardiac injury. There are not enough guidelines of high Level of Evidence regarding BCI.
METHODS: A review of online database of relevant articles and available literature for the past 15 years.
RESULTS: Spectrum of cardiac injury can be classified, according to American Association for the surgery of Trauma (AAST) Injury scale, from Grade I to Grade IV, and they range from blunt cardiac injury with minor electrocardiogram abnormality (non-
CONCLUSION: Diversity in presentation which is immense, is only one of the reasons why we should be “on alert” when we are facing patients who sustained high impact trauma. Limited diagnostic tools in prehospital settings, where majority of the injuries occur, prompt these patients to emergency departments (ED), preferably Level I Trauma centers. Detailed evaluation of most importance and we need stronger evidence to „rule out” while screening for BCI.
Keywords: blunt, cardiac trauma, guidelines
Zavod za hitnu medicinsku pomoć Niš
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