Commotio cordis medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
The first step in the treatment of [[commotio cordis]] is immediate recognition and activation of [[emergency medical services]] (EMS). Bystander [[cardiopulmonary resuscitation]] (CPR) should be initiated as soon as possible to maintain blood flow and [[oxygenation]]. Early [[defibrillation]] with an [[automated external defibrillator]] ([[AED]]) is also essential to restore normal heart [[rhythm]]. | |||
In cases where [[commotio cordis]] occurs in a healthcare setting or in the presence of medical professionals, [[advanced cardiac life support]] ([[ACLS]]) protocols should be followed. This includes advanced airway management, administration of medications such as [[epinephrine]] and [[amiodarone]], and possible interventions such as [[cardioversion]] or [[transcutaneous pacing]]. | |||
==Medical therapy== | ==Medical therapy== | ||
The primary goal of medical therapy for commotio cordis is to restore normal cardiac rhythm and maintain adequate circulation. Immediate cardiopulmonary resuscitation (CPR) should be initiated, followed by defibrillation if ventricular fibrillation is present. Early defibrillation is crucial for improving survival outcomes<ref name="pmid9632447">{{cite journal |vauthors=Link MS, Wang PJ, Pandian NG, Bharati S, Udelson JE, Lee MY, Vecchiotti MA, VanderBrink BA, Mirra G, Maron BJ, Estes NA |title=An experimental model of sudden death due to low-energy chest-wall impact (commotio cordis) |journal=N Engl J Med |volume=338 |issue=25 |pages=1805–11 |date=June 1998 |pmid=9632447 |doi=10.1056/NEJM199806183382504 |url=}}</ref>. | The primary goal of medical therapy for [[commotio cordis]] is to restore normal cardiac [[rhythm]] and maintain adequate circulation. Immediate [[cardiopulmonary resuscitation]] ([[CPR]]) should be initiated, followed by [[defibrillation]] if [[ventricular fibrillation]] is present. Early [[defibrillation]] is crucial for improving survival outcomes<ref name="pmid9632447">{{cite journal |vauthors=Link MS, Wang PJ, Pandian NG, Bharati S, Udelson JE, Lee MY, Vecchiotti MA, VanderBrink BA, Mirra G, Maron BJ, Estes NA |title=An experimental model of sudden death due to low-energy chest-wall impact (commotio cordis) |journal=N Engl J Med |volume=338 |issue=25 |pages=1805–11 |date=June 1998 |pmid=9632447 |doi=10.1056/NEJM199806183382504 |url=}}</ref>. | ||
* The first step in the treatment of commotio cordis is immediate recognition and activation of emergency medical services (EMS). Bystander cardiopulmonary resuscitation (CPR) should be initiated as soon as possible to maintain blood flow and oxygenation. Early defibrillation with an automated external defibrillator (AED) is also essential to restore normal heart rhythm | * The first step in the treatment of [[commotio cordis]] is immediate recognition and activation of [[emergency medical services]] ([[EMS]]). Bystander [[cardiopulmonary resuscitation]] ([[CPR]]) should be initiated as soon as possible to maintain blood flow and [[oxygenation]]. Early [[defibrillation]] with an [[automated external defibrillator]] ([[AED]]) is also essential to restore normal heart [[rhythm]]. | ||
* In cases where commotio cordis occurs in a healthcare setting or in the presence of medical professionals, advanced cardiac life support (ACLS) protocols should be followed. This includes advanced airway management, administration of medications such as epinephrine and amiodarone, and possible interventions such as cardioversion or transcutaneous pacing | * In cases where [[commotio cordis]] occurs in a healthcare setting or in the presence of medical professionals, [[advanced cardiac life support]] ([[ACLS]]) protocols should be followed. This includes advanced [[airway]] management, administration of medications such as [[epinephrine]] and [[amiodarone]], and possible interventions such as [[cardioversion]] or [[transcutaneous pacing]]<ref name="pmid25757838">{{cite journal |vauthors=Mu J, Zhang J, Liu L, Dong H |title=Homicidal commotio cordis caused by domestic violence: A report of two cases |journal=Med Sci Law |volume=56 |issue=2 |pages=138–41 |date=April 2016 |pmid=25757838 |doi=10.1177/0025802415575590 |url=}}</ref>. | ||
==References== | ==References== | ||
Latest revision as of 07:51, 29 August 2023
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maryam Hadipour, M.D.[2]
Overview
The first step in the treatment of commotio cordis is immediate recognition and activation of emergency medical services (EMS). Bystander cardiopulmonary resuscitation (CPR) should be initiated as soon as possible to maintain blood flow and oxygenation. Early defibrillation with an automated external defibrillator (AED) is also essential to restore normal heart rhythm. In cases where commotio cordis occurs in a healthcare setting or in the presence of medical professionals, advanced cardiac life support (ACLS) protocols should be followed. This includes advanced airway management, administration of medications such as epinephrine and amiodarone, and possible interventions such as cardioversion or transcutaneous pacing.
Medical therapy
The primary goal of medical therapy for commotio cordis is to restore normal cardiac rhythm and maintain adequate circulation. Immediate cardiopulmonary resuscitation (CPR) should be initiated, followed by defibrillation if ventricular fibrillation is present. Early defibrillation is crucial for improving survival outcomes[1].
- The first step in the treatment of commotio cordis is immediate recognition and activation of emergency medical services (EMS). Bystander cardiopulmonary resuscitation (CPR) should be initiated as soon as possible to maintain blood flow and oxygenation. Early defibrillation with an automated external defibrillator (AED) is also essential to restore normal heart rhythm.
- In cases where commotio cordis occurs in a healthcare setting or in the presence of medical professionals, advanced cardiac life support (ACLS) protocols should be followed. This includes advanced airway management, administration of medications such as epinephrine and amiodarone, and possible interventions such as cardioversion or transcutaneous pacing[2].
References
- ↑ Link MS, Wang PJ, Pandian NG, Bharati S, Udelson JE, Lee MY, Vecchiotti MA, VanderBrink BA, Mirra G, Maron BJ, Estes NA (June 1998). "An experimental model of sudden death due to low-energy chest-wall impact (commotio cordis)". N Engl J Med. 338 (25): 1805–11. doi:10.1056/NEJM199806183382504. PMID 9632447.
- ↑ Mu J, Zhang J, Liu L, Dong H (April 2016). "Homicidal commotio cordis caused by domestic violence: A report of two cases". Med Sci Law. 56 (2): 138–41. doi:10.1177/0025802415575590. PMID 25757838.