Diferencia entre revisiones de «Cardiac Tamponade»
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==Background== | ==Background== | ||
* | *80% of myocardial stab wounds develop cardiac tamponade | ||
*GSW is less likely to result in tamponade b/c pericardial defect is larger | |||
==Diagnosis== | ==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 | ||
==Treatment== | ==Treatment== | ||
| Línea 15: | Línea 16: | ||
==See Also== | ==See Also== | ||
[[Thoracic Trauma]] | [[Thoracic Trauma]] | ||
==Source== | |||
Tintinalli | |||
[[Category:Cards]] | [[Category:Cards]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revisión del 04:54 18 jul 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