A 45-year-old male patient is being prepared for transport after a severe motor vehicle accident. His blood pressure is 90/60 mmHg, heart rate is 135 bpm, and he is showing signs of jugular venous distension and muffled heart sounds. What is the most appropriate intervention to address his condition most effectively?
The patient is likely experiencing obstructive shock due to cardiac tamponade, which is indicated by his hypotension, jugular venous distension, and muffled heart sounds. Pericardiocentesis is the most appropriate intervention to relieve the pressure around the heart and restore cardiovascular stability. Administering intravenous fluids and blood products can support blood pressure but will not directly address the cause. Vasopressors may temporarily increase blood pressure but still do not remove the underlying obstruction.
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Resuscitation Principles
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