excellent, again, Haney. thanks.tom
Great case. Props to you for doing the procedure before transport. I encourage all ED providers to consider time to definitive care in their decision. I transported a similar case in which the ED provider elected not to perform a pericardiocentesis. Weather was bad. Transport had to go by mobile ICU and so time to definitive care was over 2 hours. Long-story-short is the transport crew was forced to do this in the back of an ambulance after cardiac arrest. https://www.sciencedirect.com/science/article/pii/S1067991X19300756?via%3Dihub
One more question - after you remove the fluid. What are your recommendations as far as creating a drain should fluid need to be removed again. ?Wire through need followed by CVP line, trauma line with introducer, neonatal feeding tube, etc,
What you do matters.