Keskpaik T, Starkopf J, Mihnovitš V, et al. - As admission ECG and troponin levels are frequently obtained in patients with suspected blunt cardiac injuries, researchers sought to determine the clinical significance and prognostic value of elevated high-sensitivity cardiac troponin T (hs-cTnT) in patients with severe blunt chest injuries. After IRB approval, they assessed 147 patients (Mean age: 49.0 ± 19.1 years; 74.8% were male) with Injury Severity Score > 15 and chest Abbreviated Injury Scale score ≥ 3 admitted to the major trauma centers between January 2015 and June 2017. They observed significantly poorer adjusted outcomes among blunt chest trauma victims with elevated hs-cTnT levels vs those with normal levels. An independent association was noted of Hs-cTnT level > 14 ng/L with extended ventilator days and a lower Glasgow Outcome Scale score at hospital discharge. In this study cohort, compliance with EAST practice management guidelines following severe blunt chest trauma was not fully complied that warrants prospective performance improvement measures.