Single Lateral Thoracostomy Tube
Introduce large bolus of warmed saline
Allow fluid to sit for 15-20 mins and then drain
Introduce large bolus of warmed saline
Allow fluid to sit for 15-20 mins and then drain
Anterior Tube
Site at 2nd-3rd intercostal space at the midclavicular line
Attach to a high rate infuser at 40-45°C
Infuse 200 to 300mL
This tube can be a pigtail
Lateral Tube
4-6th Intercostal space at post-axillary line
Attach to continuous drainage via pleur-evac or auto-transfuser (if using autotranfuser can re-attach to warming line for closed circuit)
Site at 2nd-3rd intercostal space at the midclavicular line
Attach to a high rate infuser at 40-45°C
Infuse 200 to 300mL
This tube can be a pigtail
4-6th Intercostal space at post-axillary line
Attach to continuous drainage via pleur-evac or auto-transfuser (if using autotranfuser can re-attach to warming line for closed circuit)
Thoracic lavage
Needle thoracostomy
Thoracotomy 
Thoracotomy
Thoracentesis
Pulmonary antibiotics
Finger thoracostomy
Lung recruitment maneuver