A late diagnosis of bacterial pericarditis

The central venous pressure should be assessed in all shock patients before and after fluid resuscitation.POCUS should be performed on all patients in shock to evaluate central venous filling and rule out pericardial effusion.If any significant pericardial fluid is found, tamponade should be considered as a contributing cause of hypoperfusion.Pericardial fluid removal rapidly improves haemodynamic status; the patient will not recover unless this is done.Awareness of cognitive biases in clinical reasoning, and strategies to mitigate them, are essential because such biases can contribute to medical errors.