An Overlooked Cardiogenic Shock in Blunt Chest Trauma in Multiple Trauma Patient
According to CDC (Centers of Disease Control and Prevention), trauma is still leading cause of death for children and adults under age 44. With transportation mode evolution, the prevalence of multiple trauma is increasing as well. Blunt chest trauma is often overlooked, with Emergency Physician usually look for sign of pneumothorax, hemothorax and cardiac tamponade in a chest trauma patient presenting with shock. 10th edition of ATLS (2018) stated that blunt cardiac injury is one of life-threatening chest trauma, but in daily practices, its often missed. ATLS recommends the use of FAST, ECG and cardiac enzyme as diagnostic modalities to help diagnosing blunt cardiac trauma. Time and precision in diagnosing blunt cardiac trauma in multiple trauma patients prevent irreversible events that lead to complications like acute heart failure, cardiogenic shock, arrythmia and even death.
Keywords: Multiple trauma, blunt chest trauma, blunt cardiac trauma, cardiogenic shock, case report
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