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    Subjects/Surgery/Primary and Secondary Survey
    Primary and Secondary Survey
    medium
    scissors Surgery

    A 28-year-old woman is brought to the trauma bay after being struck by a motorcycle. On primary survey: alert, GCS 15, airway patent, breathing spontaneous at 28/min, no stridor. Chest wall is asymmetrical with decreased breath sounds on the right. BP 92/58 mmHg, HR 118/min. Neck veins are distended. On percussion, the right hemithorax is hyperresonant. What is the most appropriate immediate intervention?

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