You respond to the scene of a 24-year-old gunshot victim and find your patient to have a decreased mental status as well as hypotension. You note absent breath sounds on the left side of his chest where you notice a puncture wound. What is this patient MOST likely suffering from?
A. Commotio cordis.
B. Flail chest.
C. Pericardial tamponade.
D. Tension pneumothorax.