<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 45-year-old male is brought into the emergency room by emergency medical services due to a stab wound in the chest. The wound is located superior and medial to the left nipple. Upon entry, the patient appears alert and is conversational, but soon becomes confused and loses consciousness. The patients blood pressure is 8040 mmHg, pulse 110min, respirations 26min, and temperature 97.0 deg F 36.1 deg C. On exam, the patient has distended neck veins with distant heart sounds. What is the next best step to increase this patients survival?? A: Intravenous fluids, B: Intravenous colloids, C: Heparin, D: Aspirin, E: Pericardiocentesis,  <response>: This is a patient with a stab wound to the chest who is showing signs of shock including low blood pressure, high heart rate, and altered mental status. The location of the wound near the heart raises concern for cardiac tamponade. The distended neck veins and distant heart sounds on exam are consistent with pericardial effusion and cardiac tamponade. In this scenario, the most urgent intervention is pericardiocentesis to drain the pericardial effusion and relieve the tamponade physiology. Intravenous fluids may help improve blood pressure but will not address the underlying cause. Heparin, aspirin, and colloids do not address the critical issue of cardiac tamponade in this setting.E: Pericardiocentesis 