ABCDE
Suspected Blunt Cardiac Injury
Significant anterior chest wall trauma with:
•
Palpitations or arrhythmia
•
New cardiac murmur
•
Unexplained tachycardia or hypotension
Haemodynamically unstable
Haemodynamically stable
Urgent ECHO
:
•
Reassess for non-cardiac causes of
haemodynamic instability
•
Manage according to findings
ECG and troponin
•
Flexi-monitoring for 24 hours
•
Repeat troponin in 8 hours
•
Cardiology inpatient referral ECHO
ECG new abnormality
and/or elevated troponin
Normal values
No further arrhythmias
Decreasing troponins
Normal ECHO and/or cleared by Cardiology
Any new
Haemodynamic instability
Discharge home if no other
injuries requiring admission