A 22-year-old male is brought to the ER after a road traffic accident. He’s hypotensive, tachycardic, and has distended neck veins. Breath sounds are equal bilaterally. No external bleeding. Muffled heart sounds are heard.
What is the next best step?
A) Chest X-ray
B) Pericardiocentesis
C) IV fluids only
D) Intubation