![]() Pericardial tamponade is a life-threatening condition that requires definitive treatment at the hospital. Treatment for pericardial tamponade includes ensuring adequate oxygenation and ventilation, covering the chest wound with an occlusive dressing (cover all open chest wounds with an occlusive dressing), controlling any external bleeding, and transporting rapidly. A tension pneumothorax is unlikely in this patient his breath sounds are clear and equal bilaterally. Signs of pericardial tamponade include muffled or distant heart tones (difficult to assess in the field) a rapid, weak pulse hypotension jugular venous distention and a narrowing pulse pressure (difference between the systolic and diastolic blood pressures). In pericardial tamponade, blood collects in the pericardial sac this prevents the heart from filling during the diastolic phase, causing a decrease in cardiac output and blood pressure. Your patient has signs of pericardial tamponade, a condition usually caused by penetrating chest trauma. ![]()
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