Commotio cordis medical therapy: Difference between revisions
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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> | ||
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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 | |||
==References== | ==References== | ||
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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
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] . 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
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.