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Blunt cardiac injury — ABEM Board MCQ

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ModerateTraumaBlunt cardiac injuryABEM Board

A 39-year-old man arrives after a high-speed MVC with anterior chest pain. Triage acuity is ESI 2; BP 126/82 mm Hg, HR 118/min. He has a sternal fracture on CT and frequent premature ventricular complexes on ECG. Initial troponin is elevated. Which of the following is the most appropriate next step in management?

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Reveal the answer and explanation

Correct answer: B — Admit for continuous cardiac monitoring

Abnormal ECG or elevated troponin after blunt chest trauma raises concern for blunt cardiac injury and warrants monitored admission.

Reference: EAST blunt cardiac injury guideline; ATLS guidance