View Full Chapter Figures Only Tables Only Videos Only Print Share Email Send Email Your Name (required) Example: John Doe Email Address (required) Please enter a valid sender email address. Example: firstname.lastname@example.org CC Me Recipient Email Address (required) Separate multiple email address with semi-colons (up to 5). Subject Subject for your email. Message (Maximum characters: 1,000) Send Cancel Copyright Paragraph Text Copyright Line Text Get Citation Citation AMA Citation Doherty GM. Doherty G.M. Doherty, Gerard M.Cardiac Compressive Shock. In: Doherty GM. Doherty G.M. Ed. Gerard M. Doherty.eds. Quick Answers Surgery. New York, NY: McGraw-Hill; 2010. http://accesssurgery.mhmedical.com/content.aspx?bookid=853&Sectionid=49662024. Accessed January 16, 2017. MLA Citation Doherty GM. Doherty G.M. Doherty, Gerard M.. "Cardiac Compressive Shock." Quick Answers Surgery. Doherty GM. Doherty G.M. Ed. Gerard M. Doherty. New York, NY: McGraw-Hill, 2010, http://accesssurgery.mhmedical.com/content.aspx?bookid=853&Sectionid=49662024. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager © Copyright Tools Search Book Top Return Clip Search Book Cardiac Compressive Shock + Essential Features + • Inadequate perfusion• Compression of the heart or great veins ++ Epidemiology + • Pericardial tamponade• Tension pneumothorax• Abdominal compartment syndrome• Diaphragmatic rupture with abdominal viscera in chest + Clinical Findings ++ Symptoms and Signs + • Distended neck veins• Postural hypotension• Oliguria• Sweating• Mental status changes• Kussmaul sign: Distention of neck veins with deep inspiration is pathognomonic of pericardial tamponade• Paradoxic pulse: A fall of > 10 mm Hg with inspiration supports diagnosis• Equalization of heart chamber pressures with pulmonary artery catheter placement + Diagnostic Considerations + • Mechanism of injury often raises suspicion• Decision must sometimes be made for intervention without full confirmation of diagnosis, eg, thrombectomy or pericardial aspiration for penetrating chest injuries and loss of signs of life + Work-up + • Physical exam/trauma work-up + Treatment and Management + • Fluid infusion can bring transient improvement• Definitive treatment must correct mechanical abnormality• See Thoracic Injuries and Abdominal Injuries• See Small Intestine, Obstruction. ++ Surgery ++ Indications + • See section on particular etiology ++ Treatment Monitoring + • Blood pressure• ECG ++ Prognosis + • Varies with etiology and severity + Resources ++ References ++American College of Surgeons: ATLS: Advanced Trauma Life Support Student Manual. American College of Surgeons, 2004.