Management of traumatic pneumothorax.

In road accident trauma, pneumothorax can be 'open' (associated with a penetrating chest wound) or 'closed'; either can be associated with fractured ribs or development of intrapleural tension. Tension and open pneumothorax are recognised easily and their correction at the scene of the accident can be lifesaving. Any accompanying major intrathoracic and subcostal organ damage should be assessed.