Snapshot A 19-year-old male is brought to the emergency department following a gunshot wound to the chest. According to the first responders, the man was found unresponsive and was quickly intubated in the field. A physical examination demonstrates decreased lung sounds on the right field and a thoracostomy is quickly performed. The chest tube immediately drained 1600 mL of reddish fluid. Introduction Clinical definition login to view 3 more bullets Epidemiology Demographics login to view 2 more bullets Risk factors login to view 4 more bullets ETIOLOGY Pathogenesis login to view 3 more bullets Associated conditions login to view 7 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 5 more bullets Differential Tension pneumothorax login to view 3 more bullets Flail chest login to view 2 more bullets Treatment Management approach login to view 2 more bullets First-line login to view 7 more bullets Second-line login to view 2 more bullets Complications Empyema login to view 1 more bullet Fibrothorax login to view 1 more bullet Atelectasis Pneumonia Pneumothorax Wound infection Hemorrhagic shock and death