A 40 year old male brought to the emergency room with a stab injury to the chest.On examination pt is found to be hemodynamically stable. The neck veins are engorged and the hea sounds are muffled .The following statements are true for this pt except ?
Correct Answer: a) Immediate emergency room thoracotomy should be done.
Description: Ans is 'b' Immediate emergency room thoracotomy should be done There is no need for emergency thoracotomy in a hemodynamically stable pt. Cardiac tamponade is quite common in stab injuries to the chest. The classical signs of tamponade are:? (a) Muffled hea sounds (b) Distended neck veins k/a Beck's Triad (c) Hypotension The tamponade can be easily diagnosed by echocardiography (identifying abnormal amount of pericardial fluid) and is managed by pericardiocentesis or surgical pericardiotomy
Category:
Surgery
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