A 60 year old man, with an accident and comes to emergency department with engorged neck veins, pallor, rapid pulse. He has muffled heart sounds. The likely diagnosis is
This is a case of cardiac tamponande.
Becks traid - muffled heart sounds + engorged neck veins + decreased BP
Cardiac tamponade
Aortic dissection
Pneumothorax
Diaphragmatic rupture