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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.