uk-plab-1 MCQ (SBA): Tension pneumothorax

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EasyEmergencyTension pneumothoraxuk-plab-1

A 32-year-old man presents with sudden onset right-sided pleuritic chest pain and breathlessness after lifting a heavy box. He is tall and thin, with reduced breath sounds and hyper-resonance on the right. He is tachycardic and hypotensive with tracheal deviation to the left. What is the single most appropriate immediate management?

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