Emergency Medicine Test Prep

Category - Chest Trauma

You respond to a 25 year male athlete, who received a non penetrating blow to chest. Following the blow, he is now unresponsive, pulseless, apneic and has no audible heart sound. What is the most likely diagnosis?
  1. Myocardial infarction
  2. Commotio cordis
  3. Shock
  4. Hypertrophic cardiomyopathies.
Explanation
Answer: B - Commotio cordis is a phenomenon in which a sudden blunt impact to the chest causes sudden death in the absence of cardiac damage.
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