A 65-year-old patient with a background of COPD and a history of heavy smoking presents with breathlessness and saturations of 90% on nasal 2 litres oxygen, RR 24. His other observations are stable. He has reduced air entry on his right chest. There is no history of injury. CXR shows a large pneumothorax on the right side. What is the next best course of action?
By James Heilman, MD - Own work, CC BY 3.0, https://commons.wikimedia.org/w/index.php?curid=7036275
