ICU SAQs · Trauma
Penetrating chest trauma with tamponade — Beck triad and the thoracotomy
A CICM SAQ on the cardiac tamponade from the penetrating chest trauma — the Beck triad, the FAST echo, the pericardiocentesis as the temporising, the thoracotomy/sternotomy as the definitive, and the resuscitative thoracotomy for the arrest.
On this page
Study tools
Target exams
CICMFFICMEDIC
Prompt
A 30-year-old stabbed in the left chest presents with the hypotension (SBP 70), the distended neck veins, and the muffled heart sounds. Discuss the diagnosis and management.
Question
A 30-year-old stabbed in the left chest presents with the hypotension (SBP 70), the distended neck veins, and the muffled heart sounds. Discuss the diagnosis and management.[1]
References3ShowHide
- [1]Seamon MJ, Haut ER, Van Arendonk K, et al. An evidence-based approach to patient selection for emergency department thoracotomy: A practice management guideline from the Eastern Association for the Surgery of Trauma J Trauma Acute Care Surg, 2015.PMID 26091330
- [2]Seamon MJ, Shiroff AM, Franco M, et al. Emergency department thoracotomy for penetrating injuries of the heart and great vessels J Trauma, 2009.PMID 20009674
- [3]de Lesquen H, Avaro JP, Gust L, et al. Surgical management for the first 48 h following blunt chest trauma Interact Cardiovasc Thorac Surg, 2015.PMID 25476459