In this episode of the PFC Podcast, Dennis and Doug delve into the complexities of pneumothorax and hemothorax, discussing when treatment is necessary, the implications of tension physiology, and the management of trauma patients. They explore the differences between spontaneous and traumatic pneumothorax, the importance of patient assessment, and the medical management strategies for these conditions. The conversation emphasizes the need for vigilance in monitoring patients and making timely decisions regarding interventions such as chest tube insertion. Takeaways Tension physiology occurs when blood return to the heart is impaired. Pneumothorax can be observed if it is less than 30% of lung volume in stable patients. Healthy lungs tolerate losing lung volume better than sick lungs. Trauma is a common cause of pneumothorax, but COVID-19 also contributed significantly. Ultrasound is the gold standard for diagnosing pneumothorax and hemothorax. Medical management of pneumothorax involves minimizing positive pressure ventilation. Chest tubes are indicated when pneumothorax significantly affects oxygenation. Tension hemothorax requires urgent intervention to prevent hypovolemic shock. Young practitioners should be aware of complications associated with chest trauma. Vigilance is key in monitoring patients with chest trauma for deterioration. Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠