RT Book, Section
A1 Bashore, Thomas M.
A1 Granger, Christopher B.
A1 Jackson, Kevin P.
A1 Patel, Manesh R.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
SR Print(0)
ID 1166612658
T1 Traumatic Heart Disease
T2 Current Medical Diagnosis and Treatment 2020
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260455281
LK accessmedicine.mhmedical.com/content.aspx?aid=1166612658
RD 2022/05/27
AB Trauma  is  the  leading  cause  of  death  in  patients  aged  1–44  years;  cardiac  and  vascular  trauma  is  second  only  to  neurologic  injury  as  the  reason  for  these  deaths.  Penetrating  wounds  to  the  heart  are  often  lethal  unless  surgically  repaired.  In  a  20-year  review  of  penetrating  trauma  at  a  single  institution,  it  was  found  that  gunshot  wounds  were  fatal  13  times  more  often  than  stab  wounds  and  that  factors  such  as  hypotension,  Glasgow  Coma  Score  less  than  8,  Revised  Trauma  Score  less  than  7.84,  associated  injuries,  and  the  more  severe  the  injuries  (Injury  Severity  Score  greater  than  25)  all  added  to  the  mortality  and  morbidity  risk.