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MediumEmergency,RespiratoryTension pneumothorax emergency decompressionau-amcau-acem

A 27-year-old man presents with sudden onset pleuritic chest pain and dyspnoea after being stabbed in the chest. He is hypotensive, tachycardic and has absent breath sounds on the right with tracheal deviation to the left. What is the most appropriate immediate management?

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