First line/initial treatment for cardiac tamponade?

Fist line/initial treatment for cardiac tamponade in my opinion should be emergent pericardiocentesis.

Drainage aseptic and in preference echoguide

If our patiet is stable.....Oxygen,  Venous catheter (), Torax X-Ray, ECG derivations,  Echocardiogram and pericardiocentesis.

If is not, Advanced cardiopulmonar suport  (ABCD) and then the rest.

• Provide oxygen
• Immediate x-ray,12 lead ECG
• Echocardiogram
• Pericardiocentesis (needle or subxiphoid)