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Commotio cordis — ABEM Board MCQ

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EasyTraumaCommotio cordisABEM Board

A 31-year-old man arrives as ESI 2 after being hit in the chest with a baseball. He is pulseless immediately after collapse and the monitor shows ventricular fibrillation. Which of the following is the most appropriate initial action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Begin CPR and defibrillate immediately

Commotio cordis causes VF after blunt precordial impact; survival depends on immediate CPR and defibrillation.

Reference: AHA ACLS cardiac arrest guidance; sports medicine emergency guidance