Commotio Cordis, Therapeutic Hypothermia, and Evacuation from a United States Military Base in Iraq

Carlson, Daniel W.; Pearson, Ryan; Haggerty, Paul; Strilka, Richard; Abella, Benjamin S.; Gourley, Paul E.

doi:10.1016/j.jemermed.2012.08.014

Cited by 9 publications

(2 citation statements)

References 16 publications

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“…There are small case series and case reports describing variable neurological outcomes when TTM was used after cardiac arrest associated with various etiologies [25][26][27][28][29][30][31][32][33][34][35][36][37][38] . A case series of 14 consecutive comatose survivors of asphyxia that were treated with TTM observed a survival rate of 65% 25 .…”

Section: Quality Of Evidence: Low Strength Of Recommendation: Conditimentioning

confidence: 99%

Canadian Guidelines for the use of targeted temperature management (therapeutic hypothermia) after cardiac arrest: A joint statement from The Canadian Critical Care Society (CCCS), Canadian Neurocritical Care Society (CNCCS), and the Canadian Critical Care Trials Group (CCCTG)

et al. 2016

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Section: Quality Of Evidence: Low Strength Of Recommendation: Conditimentioning

confidence: 99%

Canadian Guidelines for the use of targeted temperature management (therapeutic hypothermia) after cardiac arrest: A joint statement from The Canadian Critical Care Society (CCCS), Canadian Neurocritical Care Society (CNCCS), and the Canadian Critical Care Trials Group (CCCTG)

et al. 2016

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“…The treated animals were also found to have a reduction in their histopathological degeneration and necrosis scores. A case report by Carlson et al suggest that a patient with commotio cordis had a improved outcome when therapeutic hypothermia protocol was instituted after an arrest secondary to a direct blow to the heart [44]. This victim with at least 15 min of ventricular fibrillation arrest and a Glasgow Coma Scale (GCS) score of 5 T. The patient was ultimately discharged with an improved GCS of 14.…”

Section: Treatmentmentioning

confidence: 99%

Cardiac Contusions

Brewer

Zarzaur

2015

Curr Trauma Rep

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Cardiac contusion has been one of the most discussed topics in the trauma community. The discussions are centered around appropriate nomenclature, screening mechanisms, diagnostic modalities, and ultimately management principles. Controversy over nomenclature exists because cardiac contusion has been used to describe an array of injuries ranging from a transient arrhythmia to free rupture of the myocardial wall. The mainstays of screening have been electrocardiograms and cardiac isoenzymes. Although there is a substantial body of literature, few other screening or diagnostic modalities have been widely accepted. Echocardiography has gained favor as a confirmatory test and to determine presence or extinct of structural damage. Management has traditionally been supportive including volume repletion, correcting arrhythmias, and repairing structural damage. Recently, there has been some promising alternative treatments including transcatheter closure of ventricular septal defects, anti-inflammatory agents, and post-injury therapeutic hypothermia. Although screening and diagnostic mechanism have remained relatively unchanged, it appears that innovative management of severe cardiac contusions has gained some momentum over the recent years.

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