Pipping at wrong end!

Leave him like that for a few hours and see if he manages to hatch by himself. Some malpositioned chicks do manage to hatch unassisted. Keep in mind that the chick skipped the internal pip stage of the hatch, so I'd wait at least 18 hours before considering assisting.
 
You can remove a small piece of shell where he pipped and check if it's beak and nostrils are clear.
 

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