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What would you do?
His repeat observations are:
The Police are now restraining him, prone, on the floor. He is shouting less than he was a few minutes ago and appears calmer. You attempt to listen to his chest, but struggle because of his shouting, you hear intermittent noise across the chest posteriorly, and possibly see less movement on the left.
What would be the most appropriate next steps in his management?
The radiographer arrives to perform a portable chest x-ray. You assist to sit the patient forwards and notice that he is now no longer responding. His respirations have become shallow, and there is obliteration of the supraclavicular fossa on the left with no movement of that side of the chest.
Your next action is to: