Pericardial Tamponade

• 1. Pericardial Tamponade

2. Pathophysiology 3. From Shoemaker WC, Carey SJ, Yao ST, et al: Hemodynamic monitoring for physiologic evaluation, diagnosis, and therapy of acute hemopericardialtamponade from penetrating wounds. J Trauma 13:36, 1973. 4. RV early diastolic collapse 5. pericardial effusion 6. pericardial effusion 7. IVCdistension 8. Pericardiocentesis From Custalow CB: Color Atlas of Emergency Department Procedures. Philadelphia, Elsevier Saunders, 2005, p 123. 9. Pericardiotomy or Pericardiocentesis 10. Treatment of Cardiac Tamponade 11. Management of traumatic cardiac tamponade 12. 30 98/62 mmHg 120 / 26/ 37.2 Beck triad Kussmaul signs Hamman sign pneumo-mediastinum X 4 spinous process 12 13. muffled heart sound pericardiotomy