Pericardial Injury

Q) A 25-year-old male presents after a stab wound to the left 5th intercostal space at the midclavicular line. He is hypotensive, tachycardic, and confused. eFAST reveals pericardial fluid. What is the next best step in management?

A. Pericardiocentesis
B. Emergency thoracotomy
C. CT angiography of the chest
D. Chest tube insertion