Approach to chest pain Quiz: Ace Your Exams

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A 19-year-old man, who was brought into the emergency department by his friend, suddenly collapses in the waiting room. His t-shirt is saturated in blood, and he is immediately brought to the trauma bay. Temperature is 37.0 °C (98.6 °F), pulse is 121/min, respirations are 28/min, blood pressure is 85/50 mmHg, and oxygen saturation is 96% on room air. Physical examination demonstrates a 1 cm stab wound over the left anterior chest wall, in addition to jugular venous distension. The jugular venous pulse is noted at the level of the mandible. The patient speaks in clear, complete sentences, and bilateral breath sounds are present. The telemetry rhythm strip is demonstrated below. Which of the following is the best next step in management?


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