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IV epinephrine
2%
45/1929
Placement of a large gauge needle into the pericardial sac
7%
136/1929
Immediate Cardiac defibrillation
87%
1687/1929
Rescue breathing
43/1929
Fluid bolus
0%
6/1929
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Commotio cordis is a rare condition with high mortality that arises after blunt chest trauma. It results in a cardiac arrythmia, often ventricular fibrillation. Treatment consists of immediate cardiac defibrillation. Link et al found that, in a swine model, defibrillation within one minute resulted in 100% survival rate. Waiting over 4 minutes to defibrillate resulted in a 0% survival rate, unless CPR was instituted to bridge the time to defibrillation (in which case the survival rate increased to 65%). The precordial chest thump is controversial and has not yielded compelling and consistent results. Boden et al review serious sporting injuries in young men and women, and discusses commotio cordis.
3.0
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