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A 22-year-old woman was in a car traveling 10 to 15 mph that collided with a stopped car. The woman's car sustained relatively minor damage, but the air bag inflated. The woman became unconscious at the scene and was hypotensive when the emergency medical service arrived. No signs of trauma were detectable, and despite the aggressive administration of intravenous fluids, her blood pressure did not respond. Central venous pressure was 27.5 cm of water, and a pericardial effusion was noted on a
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