@article{ref1,
title="Cardiac injury after all-terrain vehicle accidents in 2 children and a review of the literature",
journal="Pediatric emergency care",
year="2015",
author="Ngo, Kimberly D. and Pian, Phillip and Hanfland, Robert and Nichols, Christopher S. and Merritt, Glenn R. and Campbell, David and Ing, Richard J.",
volume="32",
number="7",
pages="468-471",
abstract="All-terrain vehicle (ATV) accidents leading to severe morbidity and mortality are common. At our institution, 2 children presented within weeks of each other after ATV accidents. Both children required cardiac valve surgery. The surgical management of these 2 children is discussed, and the literature is reviewed. On initial patient presentation, the diagnosis of a ruptured cardiac valve or ventricular septal defect (VSD) associated with these types of accidents is often delayed. We propose that patients presenting with evidence of high-energy blunt thoracic trauma after an ATV accident should undergo an electrocardiogram, cardiac enzyme assessment, and cardiac echocardiogram as part of the initial work-up to rule out significant myocardial injury.<p /> <p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0000000000000556",
url="http://dx.doi.org/10.1097/PEC.0000000000000556"
}