A 35-year-old man presents after being stabbed in the left chest. He is acutely breathless with tracheal deviation to the right, absent breath sounds on the left and hypotension. What is the most appropriate immediate management?ANeedle decompression in the second intercostal space mid-clavicular line (or fifth intercostal anterior axillary) on the leftBUrgent chest X-ray to confirm diagnosis before interventionCHigh-flow oxygen and observation onlyDImmediate chest physiotherapyEInsertion of a chest drain without prior decompressionCheck my answer