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Surgery
An 18-year-old man is brought to the emergency department with a stab wound just to the right of the sternum in the sixth intercostal space. His blood pressure is 80 mm Hg. Faint heart sounds and pulsus paradoxus are noted. Auscultation of the right chest reveals decreased breath sounds. The initial management of this patient should be which of the following?
Aspiration of the right chest cavity
Aspiration of the pericardium
Echocardiogram
Pericardial window
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