Cite this post as:
Scott Weingart, MD FCCM. Episode 9 – Blunt Cardiac Injury from EAST. EMCrit Blog. Published on December 7, 2012. Accessed on January 24th 2025. Available at [https://emcrit.org/emcrit/blunt-cardiac-injuries/ ].
Financial Disclosures:
The course director, Dr. Scott D. Weingart MD FCCM, reports no relevant financial relationships with ineligible companies. This episode’s speaker(s) report no relevant financial relationships with ineligible companies unless listed above.
CME Review
Original Release: December 7, 2012
Date of Most Recent Review: Jul 1, 2024
Termination Date: Jul 1, 2027
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Hey Scott- At Level 2- they state: “In patients with a normal ECG result and normal troponin I level, BCI is ruled out. The optimal timing of these measurements, however, has yet to be determined.” I don’t know of any good evidence on how quickly trops rise after BCI but I suspect it takes some time as it does in MI to be reasonably sensitive. They acknowledge that the timing is “yet to be determined”. Also Level 2: “The presence of a sternal fracture alone does not predict the presence of BCI and thus should not prompt monitoring in the… Read more »