Question 22 - Medical and Obstetrics/Gynecology Practice Test for the EMT Test

Your EMS unit is dispatched to a motor vehicle vs. tree accident. You arrive on scene and find a 28-year-old male, conscious with an altered level of consciousness, and bruising to his chest from an impact with the steering wheel. During your assessment, you notice the patient has jugular vein distention, muffled heart sounds, and a narrowing pulse pressure. What do these signs and symptoms indicate?