Abstract
On the pediatric cardiology ward the on-call pediatric resident was asked to evaluate a 6-year-old patient who was complaining of nausea and dizziness. The child was postoperative day 5 after cardiac surgery. His symptoms had started about 2 h earlier and worsened gradually. By the time the resident arrived at the bedside, the patient’s clinical condition had deteriorated further and he was showing signs of impaired consciousness. The pediatrician transferred the child to the examination room and attached him to the monitors. The blood pressure was 60/40 mm Hg and the ECG showed sinus tachycardia with a heart rate of 130 bpm. The saturation was fluctuating between 88 and 92%. Knowing that the chest drain had been removed the day before, the physician listened to the lungs next. Auscultation revealed diminished breath sounds over the left lung and distant heart sounds. In addition, she noted the child’s neck veins to be markedly distended.
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(2008). Strategies for Action: Ways to Achieve Good Decisions. In: St. Pierre, M., Hofinger, G., Buerschaper, C. (eds) Crisis Management in Acute Care Settings. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71062-2_10
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DOI: https://doi.org/10.1007/978-3-540-71062-2_10
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