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As part of our best of University of Toronto EM Quick Hits series, it's a pleasure to introduce

Dr. Ian Chernoff, an ED doc at Sinai Hospital in Toronto, who's going to tell us about an interesting case of a young woman doing what Canadians do best playing hockey.

Welcome to EMK case, Dr. Chernoff, and let's hear your case.

Thanks. I'm really happy to be here.

So I was working in a night shift and I had a young person come in, a young woman.

They'd been playing hockey and in the course of the game got an injury of the chest with the butt end of a hockey stick, basically hit the sternum dead on.

Despite the injury, the person was able to keep playing hockey, finish the game, and then after

the game, continued to have some discomfort, felt progressively worse over the course of several

hours, started to get shorter breath, sweaty, pain started

to radiate down to the left arm. And so they presented to our emergency department eventually

about three hours after their initial injury. Okay, so we're talking about blunt force trauma

to the sternum. So I'm thinking kind of the

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