• Emerg. Med. Clin. North Am. · Aug 2018

    Review Case Reports

    Rapid Fire: Pericardial Effusion and Tamponade.

    • Akilesh P Honasoge and Sarah B Dubbs.
    • Department of Emergency Medicine, University of Maryland Medical Center, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA; Department of Internal Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
    • Emerg. Med. Clin. North Am. 2018 Aug 1; 36 (3): 557-565.

    AbstractOne of the most common causes of pericardial effusion in the Western world is malignancy. Emergency physicians must maintain vigilance in suspecting pericardial effusion and tamponade in patients with known or suspected malignancy who present with tachycardia, dyspnea, and hypotension. Diagnosis can be expedited by key physical examination, electrocardiogram, and sonographic findings. Unstable or crashing patients with tamponade must undergo emergent pericardiocentesis for removal of fluid and pressure to restore cardiac output.Copyright © 2018 Elsevier Inc. All rights reserved.

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