A 24 year old Male who sufferred road traffic accident was brought to casualty immediately. He had breathlessness and was tachypnoeic. On examination trachea was deviated to Left side and there was hyperresonant  sound on right chest. How do you manage this patient?
The symptoms & clinical examination fingings are suggestive of "Tension pneumothorax", which should be manged immediately by inserting large iv base needle into the 2nd intercostal space in midclavicular line on affected side.
Immediately intubate the patient and shift him to ICO
Immediately send him for chest X-ray and send blood sample for Arterial blood gas analysis
Insert a large bore I V needle in the 2nd intercostal spare on Right Midclavicular line
Immediate decompression using chest tube insertion in Midaxillary line on Right side in 4th intercostal space