injuries poisoning
Blunt Cardiac Injury
Treatment of Blunt Cardiac Injury
Supportive care Patients with myocardial contusion causing conduction abnormalities require cardiac monitoring for 24 hours because they are at risk for sudden arrhythmias during this time. Treatment is mainly supportive (eg, treatment of symptomatic arrhythmias or heart failure) and interventions are seldom needed. Surgical repair is indicated for rare cases of myocardial or valvular rupture. Patients with commotio cordis are treated for their arrhythmia (eg, resuscitation with cardiopulmonary resuscitation [CPR] and defibrillation followed by in-hospital observation). 