This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Treatment of acutely developing massive left sided hemothorax in a young male after an accident is ? 
Select and explain. 
A. Strapping of chest, B. Tube thoracostomy, C. Endotracheal intubation + IPPV + pleural fluid aspiration, D. Conservative, wait and watch
B: Tube thoracostomy
Answer: B: Tube thoracostomy 
Explanation: Ans. is 'b' i.e., Tube thoracostomy Hemothorax is defined as blood within the pleural cavity. It is classified according to the amount of blood. Minimal hemothorax --> 350 ml Moderate hemothorax --> 350-1500 ml Massive hemothorax --> 1500 ml or more (Note: The rate of bleeding after evacuation of the thorax is even more impoant.) T/T of Hemothorax ? Tube thoracostomy is performed promptly. In 85% of cases tube thoracostomy is the only treatment required. A small number of cases will have continued bleeding and will require a thoracotomy Indications for thoractomy are - persistent drainage of 200-300 ml/hr - total hemorrhagic output exceeds 1500 ml of blood