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Blunt cardiac injury my result in : 1) Acute myocardial rupture with tamponade 2) Valve rupture (tricuspid, aortic, mitral) 3) Coronary thrombosis or dissection (and thus Acute MI) from direct coronary blunt injury 4) Dysrhythmias of all kinds. In the ED, ultrasound showed hemopericardium with tamponade. And, then, so what?
A bedside cardiac ultrasound was normal. Here the full text of the article: Accelerated Idioventricular Rhythm: History and Chronology of the Main Discoveries Hope that helps! : ) Ken Case Outcome: The patient had never had any cardiopulmonary complaints, was otherwise completely healthy. His chest was tender. IVCD type rhythm ??
Bedside ultrasound showed no effusion and moderately decreased LV function, with B-lines of pulmonary edema. The patient stabilized and had a good outcome. Could the dysrhythmias have been prevented? Severe hypokalemia in the setting of STEMI or dysrhythmias is life-threatening and needs very rapid treatment.
Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1.
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