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170558 Surgery

A 55-year-old man involved in an automobile accident is unresponsive and is intubated at the scene. On arrival in the emergency department, he responds to painful stimulation. His systolic BP is 60 mm Hg, his HR is 140 bpm, his neck veins are distended, and his breath sounds are absent on the left side. Immediate management should involve which of the following?

AInsertion of a central venous line on the right side
BInsertion of an 18-gauge needle in the left second intercostal space
CPericardiocentesis
DPeritoneal lavage
Surgery
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