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Fri Sep 7 06:00:16 BST 2007

Sa'ad

In my experience, not useful - we have stopped doing ECG's on suspected cardiac penetrating trauma, but we do ultrasounds. We also don't do pericardiocentesis for the reason of significant false negatives in trauma.

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Sa'ad Lahri
Sent: Thursday, September 06, 2007 8:02 PM
To: trauma-list at trauma.org
Subject: ECG in penetrating cardiac injury

Hi all

How sensitive and specific is the ECG in picking up penetrating cardiac
injury for stabs to the precordium

We have all heard of J waves and ST segement changes but does anyone have
any stats or know what the evidence says

Regards
Sa'ad

Dr Sa'ad Lahri
Emergency Medicine Registrar
UCT/US
Cape Town
South Africa

Dr Sa'ad Lahri
Emergency Medicine Registrar
UCT/US
Cape Town
South Africa
Tel: +27826642421

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ECG in penetrating cardiac injury