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EM Clerkship

Cardiac Tamponade (Deep Dive R26)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 β€’ 795 Ratings

πŸ—“οΈ 15 October 2021

⏱️ 17 minutes

🧾️ Download transcript

Summary

Cardiac Tamponade Cardiac Tamponade – A physiological state caused by a pericardial effusion in which the pressure in the pericardial sac is higher than the pressure inside the right sided chambers of the heart, leading to impaired filling, decreased cardiac output, and hemodynamic collapse. Pericardial Effusions – Can be caused by infections, rheumatologic diseases, malignancy, […]

Transcript

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0:00.0

Hello, everyone. My name is Mike Estefan, and I thank you for joining me today on this month's

0:05.8

deep dive episode on the EM Clerkship podcast. Today's topic is going to be on cardiac tamponad.

0:13.7

Before we begin, I just have a quick word from our sponsors, Pearson Rabbit's Insurance.

0:18.8

If you've been listening to our recent content, by now you should know

0:22.1

how important own occupation disability insurance is. In fact, I would be willing to go out on

0:28.5

a limb and say it's borderline irresponsible to not have own occupation disability insurance if you

0:34.3

are a physician. The other day, I met up with Stephanie Pearson virtually to discuss

0:39.0

disability insurance options for myself. I have to tell you guys, she is on a whole other level.

0:45.6

There was just so much terminology that I hadn't heard of or didn't understand, but Stephanie

0:50.8

took the time to break it down into a language that I could easily comprehend.

0:55.9

She was also just, I don't know, overall an amazing human being.

1:01.0

I'll spare you the details, but it was abundantly clear that she was looking out for my best interest and not her own.

1:08.0

And she really went the extra mile for me.

1:10.6

I know that we get paid by Pearson

1:12.0

Ravits to advertise on their behalf, but guys, I really mean it when I say Stephanie Pearson is the

1:18.3

real deal. I would be giving her my endorsement regardless of episode sponsorship.

1:24.4

Please check out her company, Pearson Ravits, by going to www.personravitz.com and schedule a consultation with Stephanie or one of our colleagues today.

1:35.3

Now, back to cardiac tamponad. So let's start with a super basic anatomy refresher. Within your medius synum, you have your heart. Your heart is covered

1:46.8

by this fibrous coating called the paracardium, also known as the paracardial sac. Now in

1:53.2

between this fibrous paracardial sac and the heart itself, there is a potential space where

1:59.4

fluid can accumulate. When fluid accumulates in this potential space, we call it a paracardial effusion.

2:06.6

Now, let's define cardiac tamponod.

...

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