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Traumatic cardiac arrest (TCA) is a condition in which the heart has ceased to beat due to blunt or penetrating trauma, such as a stab wound to the thoracic area. [1] It is a medical emergency which will always result in death without prompt advanced medical care.
The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly). The primary indication for a resuscitative thoracotomy is a patient with penetrating chest trauma who has entered or is about to enter cardiac arrest. [4]
Diagnosis of blunt injuries may be more difficult and require additional investigations such as CT scanning. Penetrating injuries often require surgery, and complex investigations are usually not needed to come to a diagnosis. Patients with penetrating trauma may deteriorate rapidly, but may also recover much faster than patients with blunt injury.
Penetrating trauma is an open wound injury that occurs when an object pierces the skin and enters a tissue of the body, creating a deep but relatively narrow entry wound.In contrast, a blunt or non-penetrating trauma may have some deep damage, but the overlying skin is not necessarily broken and the wound is still closed to the outside environment.
Cardiac injuries affect the heart and blood vessels. Blunt cardiac injury in a common injury caused by blunt trauma to the heart. It can be difficult to diagnose, and it can have many effects on the heart, including contusions, ruptures, acute valvular disorders, arrhythmia, or heart failure. [42]
Buffalo Bills safety Damar Hamlin confirmed that a condition called commotio cordis caused his cardiac arrest when he collapsed while making a tackle during an NFL game on Jan. 2.
Jamel suffered a cardiac arrest causing brain damage and a post-mortem examination found the cause of his death was a penetrating injury to the chest, the court was previously told. 'Shy, humble boy'
Penetrating trauma to the neck, distention of the jugular veins, or a break in the tracheal-bronchial tree Signs of serious chest injuries, including penetrating trauma to the chest, which can cause a sucking chest wound ; flail chest ; tension pneumothorax ; and cardiac tamponade
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