Dyspnoea is a very common presentation in the emergency department (ED). Although cardiac and respiratory failures are common causes, we demonstrated the importance to consider non-traumatic pericardial effusion as a differential diagnosis for dyspnoea. Use of the ultrasound in the ED setting can help reach the diagnosis and provide timely and appropriate care for the patient.
RoyC.L., MinorM.A., BrookhartM.A., ChoudhryN.K.Does this patient with a pericardial effusion have cardiac tamponade?JAMA2007; 297(16): 1810–8.
2.
SpodickD.H.Acute cardiac tamponade. N Engl J Med2003; 349(7): 684–90.
3.
EisenbergM.J., de RomeralL.M., HeidenreichP.A., SchillerN.B., EvansG.T.JrThe diagnosis of pericardial effusion and cardiac tamponade by 12-lead ECG: A technology assessment. Chest1996; 110(2): 318–24.
4.
PriceA.S., LeechS.J., SierzenskiP.R.Impending cardiac tamponade: A case report highlighting the value of bedside echocardiography. J Emerg Med2006; 30(4): 415–9.
5.
MandaviaD.P., HoffnerR.J., MahaneyK., HendersonS.O.Bedside echocardiography by emergency physicians. Ann Emerg Med2001; 38(4 suppl): 377–82.
6.
MayronR., GaudioF.E., PlummerD., AsingerR., ElspergerJ.Echocardiography performed by emergency physicians: impact on diagnosis and therapy. Ann Emerg Med1988; 17(2): 150–4.
7.
HauserA.M.The emerging role of echocardiography in the emergency department. Ann Emerg Med1989; 18(12): 1298–303.
8.
LanoixR., LeakL.V., GaetaT., GernsheimerJ.R.A preliminary evaluation of emergency ultrasound in the setting of emergency medicine training program. Am J Emerg Med2000; 18(1): 41–5.
9.
JehleD., DavisE., EvansT., HarchelroadF., MartinM., ZaiserK.Emergency department sonography by emergency physicians. Am J Emerg Med1989; 7(6): 605–11.
10.
SchlagerD., LazzareschiG., WhittenD., SandersA.B.A prospective study of ultrasonography in the ED by emergency physicians. Am J Emerg Med1994; 12(2): 185–9.
11.
BlaivasM.Incidence of pericardial effusion in patients presenting to the emergency department with unexplained dyspnoea. Acad Emerg Med2001; 8(12): 1143–6.
