What is your approach to evaluating a patient with a suspected myocardial contusion?

What is your approach to evaluating a patient with a suspected myocardial contusion?

• Perform a detailed history and physical examination, focusing on chest trauma and symptoms such as chest pain, dyspnea, or arrhythmias
• Order an initial ECG to look for arrhythmias, conduction abnormalities, or evidence of myocardial injury
• Obtain cardiac biomarkers (e.g., troponin levels) to assess for myocardial injury
• Conduct a focused cardiac ultrasound or echocardiogram to evaluate for structural cardiac damage, wall motion abnormalities, or pericardial effusion
• Admit the patient for continuous cardiac monitoring and further evaluation to detect delayed complications
• Other