Which of the following statements is true about a patient with a blunt cardiac injury/cardiac contusion?
a. It will probably be diagnosed by pericardiocentesis.
b. Hemodynamic parameters will most likely show a low cardiac output and low systemic vascular resistance.
c. Treatment can require insertion of a temporary pacemaker for conduction control.
d. The only accurate way to evaluate cardiac contusion is to check the creatine phosphokinase fraction.
C
Medical management is aimed at preventing and treating complications. This approach may include administration of antidysrhythmic medications, treatment of heart failure, or insertion of a temporary pacemaker to control conduction abnormalities. Assessment of fluid and electrolyte balance is imperative to ensure adequate cardiac output and myocardial conduction.
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