Screening for by cardiac injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma 73:(5) Supplement 4, S301-S306, 2012.
Michael McGonigal has a great summary of the BCI guidelines on his Trauma Professional's Blog
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Chief, Division of Emergency Critical Care
Director, Resuscitation and Acute Critical Care Unit
Stony Brook Medicine
Stony Brook, NY, USA
No conflicts of interest (coi).
Professor
Chief, Division of Emergency Critical Care
Director, Resuscitation and Acute Critical Care Unit
Stony Brook Medicine
Stony Brook, NY, USA
No conflicts of interest (coi).
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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 »