PLE-8196

A 30-year-old male was involved in a gunshot incident. The patient was rushed to the ER. His blood pressure was 80/50, pulse was 135, and respiratory rate was 33. The patient was noted to be agitated. There was a sucking chest wound on the right side, decreased breath sounds on the right, tracheal deviation to the left, and hyperresonance over the right hemithorax. What is the best course of action?