21-year-old Man in Surgery — 21yo Man | Trauma Surgery | SMLE Q#11616

SMLE Question #11616

Surgery Trauma Surgery

Objective: OBJ-TRM-AIRWAY-01

Last updated: February 2026
A 21-year-old man is brought to the emergency department after a high-speed motorbike crash. He is conscious and acutely dyspneic. Examination shows markedly reduced breath sounds and hyperresonance to percussion over the left hemithorax. He becomes increasingly restless and his perfusion appears poor. What is the most appropriate next step in management?

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