Table 1. Procedural teaching points for ultrasound pericardiocentesis simulation.

Procedural step	Critical teaching points
Diagnosis of cardiac tamponade	Interview patient to confirm symptoms and review ultrasound imaging
Initial needle insertion	Use ultrasound to guide approach into the pericardium
Small-volume fluid aspiration from the pericardium	Perform diagnostic aspiration, characterize fluid type, stabilize needle, and prepare to pass the guidewire
Passage of the guidewire	Gently pass the guidewire under ultrasound guidance
Placement of the triple lumen catheter	Gently pass the soft catheter
Attachment of the drainage container	Suture the catheter to the chest wall