An Overlooked Cardiogenic Shock in Blunt Chest Trauma in Multiple Trauma Patient


  • Ari Prasetyadjati Emergency Department, Saiful Anwar General Hospital, Malang, East Java, Indonesia
  • Mardani Cahyono Emergency Medicine Universitas Brawijaya - Saiful Anwar General Hospital Malang



multiple trauma, blunt chest trauma, blunt cardiac trauma, cardiogenic shock, case report, chest trauma, cardiac trauma


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


1. Adib-Hajbaghery M, Maghaminejad F. Epidemiology of patients with multiple trauma and the quality of their prehospital respiration management in kashan, iran: six months assessment. Arch Trauma Res. 2014;3(2):e17150. Published 2014 Jun 1. doi:10.5812/atr.17150
2. Pfeifer R, Teuben M, Andruszkow H, Barkatali BM, Pape HC. Mortality patterns in patients with multiple trauma: a systematic review of autopsy studies. PloS one. 2016 Feb 12;11(2):e0148844.
3. Wilson M, Davis DP, Coimbra R. Diagnosis and monitoring of hemorrhagic shock during the initial resuscitation of multiple trauma patients: a review. The Journal of emergency medicine. 2003 May 1;24(4):413-22.
4. Montoya J, Stawicki SP, Evans DC, Bahner DP, Sparks S, Sharpe RP, Cipolla J. From FAST to E-FAST: an overview of the evolution of ultrasound-based traumatic injury assessment. European journal of trauma and emergency surgery. 2016 Apr;42(2):119-26.
5. Shoar S, Hosseini FS, Naderan M, Khavandi S, Tabibzadeh E, Khavandi S, Shoar N. Cardiac injury following blunt chest trauma: diagnosis, management, and uncertainty. International journal of burns and trauma. 2021;11(2):80.
6. Marcolini EG, Keegan J. Blunt cardiac injury. Emergency Medicine Clinics. 2015 Aug 1;33(3):519-27.
7. Schultz JM, Trunkey DD. Blunt cardiac injury. Critical care clinics. 2004 Jan 1;20(1):57-70.
8. Agarwal D, Chandra S. Challenges in the diagnosis of blunt cardiac injuries. Indian Journal of Surgery. 2009 Oct;71(5):245-53.




How to Cite

Prasetyadjati, A., & Cahyono, M. (2023). An Overlooked Cardiogenic Shock in Blunt Chest Trauma in Multiple Trauma Patient. Jurnal Kedokteran, 12(1), 1325–1331.



Case Report