What is the most appropriate next step for a traumatic patient presenting to the Emergency Room (ER) with profuse bleeding from the nose and mouth, cyanosis, decreased breath sounds on the right side of the chest, and hypotension, who is unstable but fully conscious?

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What is the most appropriate next step for a traumatic patient presenting with profuse bleeding from the nose and mouth, cyanosis, decreased breath sounds on the right side of the chest, and hypotension, who is unstable but fully conscious?
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