Up until September I had an additional job working for another bar too, where they paid me nightly in $50 cash, including tipsâ¦ not much considering I would drive there after an eight hour work day at my full time job, and then stay until closing time (which was usually about 3am).
Cardiac tamponade is pressure on the heart muscle which occurs when the pericardial space fills up with fluid faster than the pericardial sac can stretch. If the amount of fluid increases slowly (such as in hypothyroidism) the pericardial sac can expand to contain a liter or more of fluid prior to tamponade occurring.
The first symptoms may be nonspecific, such as anxiety and restlessness. The skin then becomes cool and diaphoreticâa tipoff to this emergency. The three classic signs of cardiac tamponade, called Beck's triad, are: muffled heart sounds, increased jugular vein distention (JVD), and hypotension. The heart sounds become muffled and distant because of the insulating effects of fluid in the pericardial sac.