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Q: What type of shock does cardiac tamponade predispose a patient to?
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What injury would most likely cause obstructive shock?

Cardiac tamponade


What is the medical condition cardiac tamponade?

Compression of the heart that occurs when the pericardium fills with blood or fluid. This increase in pressure outside the heart interferes with heart function and can result in shock and/or death.


What are the signs and symptoms of cardiac tamponade?

There is a pericardial space present in the heart. This space consists of fluid called pericardial fluid. This fluid is responsible to decrease the friction during the contraction and expansion of ventricles.  When the amount of this fluid increases, the intrapericardial pressure increases. This results to the condition when the atria and ventricles fail to relax normally. This condition is the condition of cardiac tamponade and the ecg you study to get a brief knowledge on the above condition is cardiac tamponade ecg.


What is the purpose of the pericardial sac that sounds the heart in mammals?

In the case of the heart, it acts as a shock absorber, and a lubricant to prevent friction with the heart and pericardium, which could result in "friction rubs" and cardiac tamponade, as well as pericarditis.


What part of the heart fails to work during cardiac shock?

Cardiac muscle or heart muscle is the part of the heart that fails to work during cardiac shock.


What happens in hospital when someone arrests?

A cardiac arrest team will be called in, and the staff will start CPR immediately, they will use a BVM and Defib (if necessary) to attempt to resus the patient the cardiac arrest team will then move in and perform ALS on the patient. Usually the patient will go into respiratory arrest and then cardiac arrest, their heart rhythm will normally go from normal synas rhythm into VF (Ventiricualr Fibrillation) where a shock will be nececerry to stop the heart, and shock it back into normal rhythem. If the patient receives early CPR and early Defib they have a fairly good chance of surviving if they go into VF. Hope this helps.


When should a rescuer deliver a shock with aed?

An automated external defibrillator (AED) should be used when the patient has cardiac arrest. This is when the heart suddenly stops beating; the AED will distribute a shock to the heart to try to get it beating again.


Why do you use defibrillators?

They are used to shock the patient's heart back into sinus rhythm. When a patient is suffering a life threatening cardiac related problem a defibrillator is used to deliver enough electrical energy to get it working normally again.


How does cardiac tamponade cause cyanotic?

Cardiac tamponade is a condition caused by rapid buildup of fluid (usually blood, but some conditions cause other fluids to collect) in the pericardial sac (see question below for definition of pericardium). Small amounts of fluid or fluid that accumulates over a long period of time does not cause problems, but when the fluid volume becomes too high or it accumulates rapidly, the pressure within the pericardium rises and may eventually lead to compression of the cardiac chambers, restricting filling and emptying. This is most prominent in the right sided chambers, specifically the right atrium and ventricle. Restriction of filling results in a decrease in cardiac output and eventually hypotension, shock, and (if uncorrected) death. This is a not uncommon cause of PEA (pulseless electrical activity) in traumatically injured patients. Signs and symptoms of cardiac tamponade include the classic signs of hypotension/shock, jugular venous distention and muffled heart sounds. Together, these signs bear the eponym "Beck's triad." Not all patients with cardiac tamponade will have all of these signs, however. Clinical suspicion in the appropriate setting still plays a major role in diagnosis. Other signs include those caused by these three core signs - altered mental status, weak or absent peripheral pulses, cyanosis, respiratory distress or failure, diaphoresis, tachycardia as the heart tries to compensate for a decreased output and hypotension, decreased urine output, and others. Diagnosis of cardiac tamponade is done either on appropriate clinical suspicion in appropriate patients and physical exam or by ultrasound at the bedside. Rapid bedside ultrasound will reveal a large pericardial effusion with compression of the R heart structures, particularly in diastole. This is diagnostic of cardiac tamponade. Treatment includes pericardiocentesis at bedside, either blindly or ultrasound guided or emergent pericardial window in the OR. In traumatic cases, particularly penetrating trauma, the cause is an atrial or ventricular injury or proximal aortic injury and these treatments will cause only temporary improvement with worsening again upon reaccumulation of blood. In this case, the treatment is thoracotomy and primary repair of the cardiac injury. Emergency thoractomy may be performed in the emergency department as a temporizing measure to give the patient time to make it to the OR when vital signs are lost, but overall mortality is high. See the related questions for more information.


What is the prognosis for shock?

The prognosis of an individual patient in shock depends on the stage of shock when treatment was begun, the underlying condition causing shock, and the general medical state of the patient.


What are the two types of shock that diabetics go into?

septic and cardiac


Why cant you touch the patient when AED Delivers a Shock?

Because you too, will get shocked and it'll take away from the amount of shock the patient might need.