Cardiac Trauma: A Review of Penetrating and Blunt Cardiac Injuries.

IF 1 4区 医学 Q3 SURGERY American Surgeon Pub Date : 2024-12-11 DOI:10.1177/00031348241307400
Carlin Lee, Mallory Jebbia, Raveendra Morchi, Areg Grigorian, Jeffry Nahmias
{"title":"Cardiac Trauma: A Review of Penetrating and Blunt Cardiac Injuries.","authors":"Carlin Lee, Mallory Jebbia, Raveendra Morchi, Areg Grigorian, Jeffry Nahmias","doi":"10.1177/00031348241307400","DOIUrl":null,"url":null,"abstract":"<p><p>Cardiac injuries pose challenging diagnostic and management dilemmas. Cardiac trauma can be classified by mechanism into blunt and penetrating injuries. Penetrating trauma has an overall higher mortality and is more likely to require operative intervention. Due to the lethality of any cardiac injury, prompt diagnosis and treatment is critical for survival. The initial management of suspected cardiac injury should start with Advanced Trauma Life Support (ATLS) protocols followed shortly by directed diagnosis and management, which usually begins with a focused assessment with sonography in trauma (FAST) examination. In contrast to traditional ATLS protocols, some centers have adopted an assessment of \"circulation before \"airway\" and \"breathing\"; however, this is an evolving concept. In this article, we provide an overview on the management of penetrating and blunt cardiac injuries, including use of physical exam, laboratory tests, imaging, and surgery.</p>","PeriodicalId":7782,"journal":{"name":"American Surgeon","volume":" ","pages":"31348241307400"},"PeriodicalIF":1.0000,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Surgeon","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00031348241307400","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Cardiac injuries pose challenging diagnostic and management dilemmas. Cardiac trauma can be classified by mechanism into blunt and penetrating injuries. Penetrating trauma has an overall higher mortality and is more likely to require operative intervention. Due to the lethality of any cardiac injury, prompt diagnosis and treatment is critical for survival. The initial management of suspected cardiac injury should start with Advanced Trauma Life Support (ATLS) protocols followed shortly by directed diagnosis and management, which usually begins with a focused assessment with sonography in trauma (FAST) examination. In contrast to traditional ATLS protocols, some centers have adopted an assessment of "circulation before "airway" and "breathing"; however, this is an evolving concept. In this article, we provide an overview on the management of penetrating and blunt cardiac injuries, including use of physical exam, laboratory tests, imaging, and surgery.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
心脏创伤:穿透性和钝性心脏损伤的综述。
心脏损伤提出了具有挑战性的诊断和管理难题。心脏外伤按机制可分为钝性伤和穿透性伤。穿透性创伤总体死亡率较高,更有可能需要手术干预。由于任何心脏损伤的致命性,及时诊断和治疗对生存至关重要。疑似心脏损伤的初始处理应从高级创伤生命支持(ATLS)方案开始,随后是直接诊断和管理,通常以创伤超声(FAST)检查的重点评估开始。与传统的ATLS方案相比,一些中心采用了“循环先于”气道“和“呼吸”的评估;然而,这是一个不断发展的概念。在本文中,我们概述了穿透性和钝性心脏损伤的处理,包括身体检查、实验室检查、成像和手术的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
American Surgeon
American Surgeon 医学-外科
CiteScore
1.40
自引率
0.00%
发文量
623
期刊介绍: The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.
期刊最新文献
Bilateral Breast Cancer. Effects of Exercise Training on Body Composition and Exercise Capacity After Bariatric Surgery: A Systematic Review and Meta-Analysis. Letter re: BMI is Inadequate in Proposing an Immunological Effect of Excess Adipose Tissue. Letter re: Pathological Examination in Pilonidal Sinus Surgery: Evaluating Necessity and Cost-Effectiveness: A 10-Year Retrospective Analysis. Letter re: Response to Letter to the Editor Re: Open Versus Minimally Invasive Emergent Colectomy for Diverticulitis.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1