Book contents
- The Emergency Medicine Trauma Handbook
- The Emergency Medicine Trauma Handbook
- Copyright page
- Contents
- Contributors
- Preface
- Disclaimer
- Chapter 1 General Approach to Traumatic Injuries
- Chapter 2 Trauma Airway
- Chapter 3 Transfusion in Trauma
- Chapter 4 Trauma in Pregnancy
- Chapter 5 Pediatric Trauma
- Chapter 6 Geriatric Trauma
- Chapter 7 Head Trauma
- Chapter 8 Facial Trauma
- Chapter 9 Eye Trauma
- Chapter 10 Cervical Spine Trauma
- Chapter 11 Thoracolumbar Trauma
- Chapter 12 Neck Trauma
- Chapter 13 Pulmonary Trauma
- Chapter 14 Cardiac Trauma
- Chapter 15 Abdominal and Flank Trauma
- Chapter 16 Genitourinary Trauma
- Chapter 17 Peripheral Vascular Injury
- Chapter 18 Pelvic Trauma
- Chapter 19 Upper Extremity Trauma
- Chapter 20 Lower Extremity Trauma
- Chapter 21 Burns and Electrical Injuries
- Chapter 22 Procedural Sedation and Analgesia in Trauma
- Chapter 23 Commonly Missed Traumatic Injuries
- Index
- References
Chapter 14 - Cardiac Trauma
Published online by Cambridge University Press: 23 August 2019
- The Emergency Medicine Trauma Handbook
- The Emergency Medicine Trauma Handbook
- Copyright page
- Contents
- Contributors
- Preface
- Disclaimer
- Chapter 1 General Approach to Traumatic Injuries
- Chapter 2 Trauma Airway
- Chapter 3 Transfusion in Trauma
- Chapter 4 Trauma in Pregnancy
- Chapter 5 Pediatric Trauma
- Chapter 6 Geriatric Trauma
- Chapter 7 Head Trauma
- Chapter 8 Facial Trauma
- Chapter 9 Eye Trauma
- Chapter 10 Cervical Spine Trauma
- Chapter 11 Thoracolumbar Trauma
- Chapter 12 Neck Trauma
- Chapter 13 Pulmonary Trauma
- Chapter 14 Cardiac Trauma
- Chapter 15 Abdominal and Flank Trauma
- Chapter 16 Genitourinary Trauma
- Chapter 17 Peripheral Vascular Injury
- Chapter 18 Pelvic Trauma
- Chapter 19 Upper Extremity Trauma
- Chapter 20 Lower Extremity Trauma
- Chapter 21 Burns and Electrical Injuries
- Chapter 22 Procedural Sedation and Analgesia in Trauma
- Chapter 23 Commonly Missed Traumatic Injuries
- Index
- References
Summary
Cardiac trauma is a critical injury, with penetrating cardiothoracic injury accounting for up to a third of traumatic deaths.1–4 These injuries often involve the heart or great vessels and include traumatic insertion of a foreign body, including invasive iatrogenic injury.1–8 Blunt cardiac trauma occurs in a wide range of patients, with 8–71% of patients with cardiothoracic trauma demonstrating signs of cardiac injury.1,2,8 Blunt cardiac injury encompasses all types of injury associated with blunt thoracic trauma to the heart.8–13 Up to 20% of deaths from motor vehicle collisions (MVCs) are due to this type of injury. Patients with thoracic great vessel injury due to penetrating injury have a high mortality rate (over 90% die at the scene),14,15 and blunt injury to the thoracic vessels is commonly due to motor vehicle accident.12,13,16,17 These injuries can result in chest, upper abdominal, back, arm/shoulder, or lower neck pain, as well as hemodynamic instability, nausea/vomiting, and shortness of breath.
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- Information
- The Emergency Medicine Trauma Handbook , pp. 193 - 212Publisher: Cambridge University PressPrint publication year: 2019