Q. A 38-year-old man is brought to the emergency department by ambulance after a motor vehicle accident. He was the driver and lost consciousness during the accident. On arrival, he is intubated and receiving positive pressure ventilation. His vital signs are: temperature 98.8°F (37.1°C), blood pressure 95/60 mmHg, heart rate 130 beats/min, respiratory rate 20 breaths/min, and oxygen saturation 90% on 100% oxygen. He has a 15-pack-year smoking history and no significant alcohol or family history. A chest X-ray shows a large right-sided pneumothorax with tracheal deviation. What is the appropriate next step of management for this patient's condition?

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