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A chest radiograph is obtained (figure 1).
Fig.1
Based on the x-ray and information provided, what is the most likely diagnosis?
You decide to perform a bedside echocardiogram to assess for a pericardial effusion. Which of the following is the best view for assessing the pericardium in the Emergency Department (ED)?
The bedside echo reveals a large pericardial effusion as shown (Figure 2).
His blood tests show a raised C-Reactive Protein (CRP) and white cell count.
His Vital signs are as follows:
Oxygen saturation: 95% on supplemental oxygen
Respiratory rate: 20 breaths per minute
Blood pressure: 134/76 mmHg
Heart rate: 90 beats per minute
Glasgow Coma Scale 15/15
Temperature 37.8 degrees Celsius
Which of the following is the most appropriate next treatment step?