Ultrasound signs of pericardial tamponade with my buddy, Jacob Avila. This episode is simulacasted with Core Ultrasound.

Right Atrial Collapse

greater than 1/3 of the cycle is probably the most specific

 

Right Ventricular Collapse

If the RV is collapsing when the mitral valve is open, then that is specific for tamponade

 

IVC

Lead pipe is specific, flat doesn't rule it out (if pt is volume depleted, etc.)

 

Check Out my Prior Episode with Jacob

* EMCrit 256 - RUSH Redux with Jacob Avila

Steve Alerhand has written a great review article in AJEM

Alerhand-Is it Tamponade?

 

Now on to the Wee...