Commotio cordis medical therapy: Difference between revisions
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==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 | 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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==References== | ==References== | ||
Revision as of 05:21, 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
Fulminant death is the most common outcome, because cardiopulmonary resuscitation requires quick action by a specialized medical team, using a defibrillator and cardioactive drugs, and these are rarely on hand in sports arenas. Due to the significant danger to children (death by commotio cordis is the first cause of fatalities in youth baseball in the US, with 2 to 3 deaths per year[1], it has been recommended that "communities and school districts reexamine the need for accessible automatic defibrillators and cardiopulmonary resuscitation-trained coaches at organized sporting events for children[2]."
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[3] .
References
- ↑ Abrunzo TJ. Commotio cordis. The single, most common cause of traumatic death in youth baseball. Am J Dis Child. 1991 Nov;145(11):1279-82. Review. PMID 1951221
- ↑ Salib EA, Cyran SE, Cilley RE, Maron BJ, Thomas NJ. Efficacy of bystander cardiopulmonary resuscitation and out-of-hospital automated external defibrillation as life-saving therapy in commotio cordis. J Pediatr. 2005 Dec;147(6):863-6. Review. PMID 16356450
- ↑ 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.