Cardiac Tamponade: Difference between revisions
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==See Also== | ==See Also== | ||
[[Thoracic Trauma]] | *[[Thoracic Trauma]] | ||
*[[Pericardial Effusion and Tamponade]] | |||
==Source== | ==Source== | ||
Revision as of 20:12, 10 December 2011
Background
- 80% of myocardial stab wounds develop cardiac tamponade
- GSW is less likely to result in tamponade b/c pericardial defect is larger
Diagnosis
- Tachycardia, narrow pulse pressure, elevated CVP, hypotension
- TTE is study of choice
- 5% false negative (usually b/c pericardium is decompressing into L chest)
- Be suspicious if pt has a left-sided pulm effussion
- 5% false negative (usually b/c pericardium is decompressing into L chest)
Treatment
- IVF
- Pericardiocentesis
- ED Thoracotomy (if loses pulses)
See Also
Source
Tintinalli