Cardiac Echo. Serial troponin I. Arrhythmia meds. Yes. Yes. Draw troponin I. Normal result? Admit to monitored bed. Discharge 24 hours after last arrhythmia. No.
Management of Blunt Cardiac Injury (BCI)
Is patient at risk for BCI?
High-energy mechanism: motor vehicle crash, fall from height, pedestrian struck, sports injury
Yes No Chest wall pain/ tenderness? No Yes Apply monitor, obtain 12-lead EKG
No further consideration of BCI
No
New arrhythmia (or change in old one)?
Yes
Hemodynamic instability?
No
Draw troponin I Yes
Normal result?
No Admit to monitored bed Discharge 24 hours after last arrhythmia
Yes
Admit to ICU Cardiac Echo Serial troponin I Arrhythmia meds
