0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
MEDICAL NEWS |

Myocardial Contusion Not Always Recognized As Cause of Death in High-Speed Auto Accidents

JAMA. 1964;189(1):A35. doi:10.1001/jama.1964.03070010095048.
Text Size: A A A
Published online

ABSTRACT

Myocardial contusion following thoracic trauma, particularly in cases involving high-speed automobile accidents, is more often a cause of death than is commonly realized, according to William E. DeMuth Jr., MD, Carlisle, Pa.

"Its apparent rarity is the result of lack of recognition," DeMuth told the Annual AMA Convention. "Careful investigation of patients sustaining thoracic injuries will reveal an incidence of cardiac injury far in excess of that commonly appreciated." DeMuth said he encountered seven instances of traumatic myocardial injury in 144 consecutive autopsies over a two-year period.

"The incidence in a given hospital will be directly proportional to the number of high-speed automobile accident victims treated," he said. "Less common causes of cardiac injury are those due to blast, crush, and high-velocity gunshot wounds."

Recognition of the condition is of more than academic interest, he said. While most contusions of the heart proceed to a normal recovery, "a significant number

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();