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Grand Rounds: Penetrating Injury to the Heart


By Robert Parry, MD, FACS, Pediatric General Surgeon, and Robert Stewart, MD, Cardiovascular Surgeon , Akron Children's Hospital, Akron, OH

More about Robert Parry, MD, FACS
More about Robert Stewart, MD

Objectives (Educational Content) :

1. Describe the initial management of a patient with a penetrating injury to the heart from a narrow. 2. Briefly describe the operative repair of the penetrating heart injury

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

The American College of Surgeons Committee on Trauma requires a structured effort by trauma programs to demonstrate a continuous process for improving care for injured patients and states that an evidence-based rather than an empiric approach presents more meaningful criteria against which trauma care can be measured. A standardized approach to recurring care issues minimizes unnecessary variation, allow better outcome assessment, and makes changes in care easier to implement and more uniform. They further recommend that all members of the trauma team are knowledgeable about current practices in trauma care, that multidisciplinary education should be ongoing in all trauma centers, and that performance improvement programs should be an important part of educational activities.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.


Drs. Parry and Stewart have indicated that she has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


T Lustenberger et. al. Penetrating cardiac trauma in adolescents: A rare injury with excessive mortality. J of Ped Surg (2013) 48, 745-749.

ML Wani et. al. Penetrating cardiac injury: a review. Trauma Monthly (2012) 17(1), 230-232.