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Pericardial tamponade

Educational use only. Not clinically reviewed

64-year-old woman for Post-drainage pericardial tamponade reassessment after urgent image-guided pericardiocentesis. About 8 simulated minutes.

What you will practise

  • Reconcile the authored pre-drainage clinical and echocardiographic tamponade pattern with the current stable whole-patient state.
  • Review the reported urgent drainage and immediate response without inferring procedure skill, sole causation, or durable resolution.
  • Review malignant, infectious, inflammatory, systemic, renal, iatrogenic, and other etiologies while the selected fluid studies remain pending.
  • Review serial perfusion, respiratory, rhythm, catheter, output, imaging, recurrence, and complication surveillance without manipulating or removing the drain.
  • After elapsed reassessment, hand off pending results, recurrence and deterioration triggers, and named Cardiology and oncology ownership.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • Schulz-Menger J, Collini V, et al. 2025 ESC Guidelines for the management of myocarditis and pericarditis. Eur Heart J. 2025;46:3952-4041. doi:10.1093/eurheartj/ehaf192.
  • Wang TKM, Klein AL, Cremer PC, et al. 2025 Concise Clinical Guidance: An ACC Expert Consensus Statement on the Diagnosis and Management of Pericarditis. J Am Coll Cardiol. 2025;86:2691-2719. doi:10.1016/j.jacc.2025.05.023.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.