ou and your AEMT partner are dispatched along with a BLS eng…

оu аnd yоur AEMT pаrtner аre dispatched alоng with a BLS engine company for a motor vehicle accident. You have a 6 minute response time. Law enforcement is on scene controlling traffic. You arrive to find a car crashed into a tree off the side of a rural highway. The fire department has already cut the power to the vehicle and stabilized it with wooden chalks. You and your partner find the patient sitting in the driver seat. The patient is alert to self, but not time, place, or event. The patient reports chest pain and difficulty breathing. Your patient had pale, cool, clammy skin, and a strong rapid radial pulse. While the fire department is working on extrication you obtain vitals; Your partner has placed the patient on oxygen via a NRB. The fire department successfully opens the drivers door and you are able extricate the patient from the vehicle. After extricating the patient from the vehicle you take a quick look inside the drivers compartment. You observe significant damage to the steering column and a spider web like crack in the windshield. In the ambulance you begin your secondary assessment. You find that both clavicles are fractured and significant crepitation on the ribs. The patient denied any head, neck, or back pain and no abnormalities were noted on palpation. Your patient begins to have rapid, irregular respirations, jugular vein distention, the patient's lung sounds are equal, clear, and bilateral. You reobtain vitals and are as follows; You have identified that the patient is suffering from cardiac tamponade. Select 3 treatments that are indicated?