Cardiac Tamponade

Question 1

What is Cardiac Tamponade

Answer 1

Pericardial effusion of water, air and exudate causing large volume of fluid impairing ventricle filling = Cardiac Tamponade
Diastolic filling decreases = Low CO = Emergency

Question 2

What are the symptoms of Cardiac Tamponade

Answer 2

SOB
Tachycardia
Confusion
Chest Pain
Abdominal Pain

Question 3

What are the signs of Cardiac tamponade

Answer 3

Beck’s Triad

Pulsus Paradoxilus

Question 4

What is the Becks triad

Answer 4

Hypotension
Quiet S1 and S2
Raised JVP

Question 5

What are the risk factors for Cardiac Tamponade

Answer 5

Malignancy
Pericarditis
Thoracic trauma

Question 6

How would you Diagnose Cardiac Tamponade

Answer 6

ECG - Vaired QRS
CXR - Large heart
ECHO- Show any fluid (Diagnostic)
Pericardiocentesis - Fluid sampling to find the cause

Question 7

What are the complications of Pericardiocentesis

Answer 7

Pneumothorax
Myocardium damage
Coronary damage
Thrombus
Cardiac Arrest
Peritoneum damage

Question 8

What is the first line management for Cardiac Tamponade

Answer 8

Pericardiocentesis

Question 9

What is the first line management for patients with haemopericardium, malignancy and trauma (Think RISK FACTORS) In Cardiac Tamponade

Answer 9

Surgical drainage

Question 10

What is Pulsus Paradoxilus

Answer 10

10+ Systolic BP on inspiration

Question 11

How would you treat pericardial effusion

Answer 11

NSAIDS and Colchicine