Emergency Medicine Test Prep

Category - Chest Trauma

Which of the following are included in the management of cardiac tamponade patient?
  1. Airway management and ventilation
  2. Rapid transport for pericardiocentesis
  3. Refer to ILCOR Consensus for treatment
  4. All of these
Explanation
Answers: A and B - For the management of cardiac tamponade patient the steps are
A. ATLS that is airway management and ventilation and also Rapid transport for pericardiocentesis

The second step is Paracentesis this is a procedure to take out fluid that has been collected.in management of cardiac tamponade patient the safer approach for paracentesis is through subxiphoid approach and this approach is safer than parasternal approach because of danger of coronary artery laceration.18-23 gauge needle is inserted just below and to the left of xiphoid towards the midclavicular point and aspiration is done.
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