• Registration
  • Login
JETem
  • Home
  • About
    • Aim and Scope
    • Our Team
    • Editorial Board
    • FAQ
  • Issues
    • Current Issue
    • Ahead of Print
    • Past Issues
  • Visual EM
    • Latest Visual EM
    • Search Visual EM
    • Thumbnail Library
  • For Authors
    • Instructions for Authors
    • Submit to JETem
    • Photo Consent
    • Policies
      • Peer Review Policy
      • Copyright Policy
      • Editorial Policy, Ethics and Responsibilities
      • Conflicts of Interest & Informed Consent
      • Open Access Policy
  • For Reviewers
    • Instructions for JETem Reviewers
    • Interested in Being a JETem Reviewer?
  • Topic
    • Abdominal / Gastroenterology
    • Administration
    • Board Review
    • Cardiology / Vascular
    • Clinical Informatics, Telehealth and Technology
    • Dermatology
    • EMS
    • Endocrine
    • ENT
    • Faculty Development
    • Genitourinary
    • Geriatrics
    • Hematology / Oncology
    • Infectious Disease
    • Miscellaneous
    • Neurology
    • Ob / Gyn
    • Ophthalmology
    • Orthopedics
    • Pediatrics
    • Pharmacology
    • Procedures
    • Psychiatry
    • Renal / Electrolytes
    • Respiratory
    • Social Determinants of Health
    • Toxicology
    • Trauma
    • Ultrasound
    • Urology
    • Wellness
    • Wilderness
  • Modality
    • Curricula
    • Innovations
    • Lectures
    • Oral Boards
      • Structured Interview
      • Communication Case
    • Podcasts
    • Simulation
    • Small Group Learning
    • Team Based Learning
    • Visual EM
  • Contact Us

A Case Report of Cardiac Tamponade

Derek JC Hunt, DO*, Kevin McLendon, DO* and Matthew Wiggins, MD*

*Merit Health Wesley, Department of Emergency Medicine, Hattiesburg, MS

Correspondence should be addressed to Derek Jacob Carver Hunt, DO at derekjchunt@gmail.com

DOI: https://doi.org/10.21980/J8J644 Issue 6:2
Cardiology/VascularVisual EM
No ratings yet.
Creative Commons images
Creative Commons images
Creative Commons images
Creative Commons images
Creative Commons images

ABSTRACT:

Cardiac tamponade is a rare and life-threatening condition that can be caused by trauma and various medical conditions.  Failure to recognize and repair it quickly could lead to significant morbidity or even death.  This case demonstrates the electrocardiogram (ECG) findings of low voltage QRS and electrical alternans in cardiac tamponade.  It also highlights the classic ultrasound (US) findings of pericardial effusion and right ventricular collapse during diastole in cardiac tamponade.  Classic physical exam findings of cardiac tamponade include Beck’s Triad (jugular venous distention, hypotension, and muffled heart sounds) and pulsus paradoxus.  This patient only had jugular venous distention and pulsus paradoxus.  The case is centered on a 52-year-old male who presented with shortness of breath, wheezing, and a productive cough with streaks of blood.  A CT chest was performed which revealed a large pericardial effusion, right upper lobe lung mass, and bilateral pulmonary emboli.  A bedside transthoracic echocardiogram was then performed which confirmed the large effusion as well as right ventricular collapse during diastole.  Cardiothoracic surgery and interventional cardiology were consulted and both agreed to take the patient to the cardiac catheterization lab for percutaneous drainage of the effusion.  Pericardiocentesis was performed and 1.7 liters of serosanguinous fluid was removed and a drain was left in place.  He recovered well from the procedure and had an uneventful admission.  After reviewing this case, learners should be able to recognize the diagnostic features and various causes of pericardial effusion and cardiac tamponade.

Topics:

Electrocardiography, echocardiography, cardiac tamponade.

Icon

Cardiac Tamponade - Manuscript

1 file(s) 1.76 MB
Download
Icon

Cardiac Tamponade - Images

1 file(s) 1.98 MB
Download
CTECGIssue 6:2Ultrasound

Reviews:

No ratings yet.

Please rate this





Creative Commons images

A Different Type of Tension Headache: A Case...

05 Apr, 21
Creative Commons images

Case Report: Altered with PRES

05 Apr, 21

JETem is an online, open access, peer-reviewed, journal-repository for EM educators. We are PMC Indexed.

Most Viewed

  • The Silent Saboteur: Teaching the Clinical Implications of Occult Hypoxemia & Social Determinants of Health via a Pulmonary Embolism Case
  • Diabetic Ketoacidosis and Necrotizing Soft Tissue Infection
  • My Broken Heart
  • Stabilization of Cardiogenic Shock for Critical Care Transport, a Simulation
  • Innovative Ultrasound-Guided Erector Spinae Plane Nerve Block Model for Training Emergency Medicine Physicians

Visit Our Collaborators

Creative Commons Licence
This work is licensed under a Creative Commons Attribution 4.0 International License.

About

Education

Learners should benefit from active learning. JETem accepts submissions of team-based learning, small group learning, simulation, podcasts, lectures, innovations, curricula, question sets, and visualEM.

Scholarship

We believe educators should advance through the scholarship of their educational work. JETem gives educators the opportunity to publish scholarly academic work so that it may be widely distributed, thereby increasing the significance of their results.

Links

  • Home
  • Aim and Scope
  • Current Issue
  • For Reviewers
  • Instructions for Authors
  • Contact Us

Newsletter

Sign up to receive updates from JETem regarding newly published issues and findings.

Copyright Creative Commons Attribution 4.0 International