Introduction

The major acute problem in tamponade from penetrating chest and upper abdominal wounds is early recognition and treatment before cardiogenic shock and cardiac arrest occur. This may entail maintenance of blood pressure and flow with vasoactive agents until the pericardial collection has been drained. With pericardial effusions arising from a non-surgical cause, the tamponade syndrome is more likely to progress slowly; this allows more time for diagnostic procedures and trials of conservative measures.

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