10th May 2025

Mr Joe is a 35-year-old male who has come into the emergency department after a car accident.

Mr Joe is a 35-year-old male who has come into the emergency department after a car accident. Mechanism was car vs tree at around 30mph. He was not wearing a seatbelt at the time. He is currently  conscious and there is no obvious evidence of head injury. On the primary survey there is shortness of  breath and some chest pain which he admitted was likely due to his chest hitting the steering wheel  relatively forcefully on impact with the tree. Secondary survey shows that he has some lower rib pain, but  nil else of note. He has a background of a previous MI 5 years ago. His HR is 112 bpm, and blood  pressure is found to be 89/52 mmHg. There are muffled heart sounds on auscultation, with jugular veins  distended. Considering the diagnosis, what would you expect to see on the JVP waveform?  

Select the SINGLE most appropriate option from the list below. Select ONE option only.