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Tamponade – pericardiocentesis — RACP Paediatrics MCQ

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HardCardiologyTamponade – pericardiocentesisRACP Paediatrics

A 2-year-old with known large pericardial effusion deteriorates with pulsus paradoxus, muffled heart sounds, and JVP distension. Echo confirms tamponade. What is the emergency intervention?

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Correct answer: E — Pericardiocentesis

Cardiac tamponade requires emergency pericardiocentesis. Even 10-20 mL removal can dramatically improve haemodynamics. Echo-guided subxiphoid approach preferred.

Reference: RCH Melbourne – 2023 – Pericardial Effusion CPG