Scenario 4
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1. Question
A heavily-built young motorcyclist has just arrived in the resuscitation room. He collided with an oncoming vehicle following loss of control at speed on a bend. Intubated and ventilated at the scene, the paramedics report a likely developing right-sided tension pneumothorax. You concur. You detect decreased breath sounds with hyper-resonance on the right, decreasing saturations and blood pressure (70 systolic) and markedly increased resistance to bagging.
Which of the following is the best next move?
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