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Missiles
foreign bodies
Missiles appear as
echogenic structures with strong reverberations
when diagnosing Missiles use
x rays for reference and off axis views
for Missiles always perform a
bubble study to rule out an atrial level shunt
most likely to be affected by cardiac contusion
RV since its the most anterior chamber
Blunt Cardiac Trauma causes
structural damage to cardiac structures
majority of BCI are in the
RA/RV since theyre the most anterior chambers
Blunt Cardiac Trauma Often present with
other sustained trauma to the system (usually thoracic injuries)
Blunt Cardiac Trauma symptoms
asymptomatic, Transient arrhythmias or deadly rupture of the cardiac wall
TTE / TEE detects
WMA, valvular dysfunction and pericardial effusion
Blunt Cardiac Trauma will have elevated
Cardiac enzymes and troponin T
Blunt Cardiac Trauma treatment
EKG monitoring or Sternotomy