1. What is your first line imaging test to diagnose pneumothorax (PTX)? When do you get a CT?
2. How do you manage traumatic pneumothoraces found incidentally on CT (i.e., not clinically apparent, not on CXR)? What if the patient requires mechanical ventilation?
3. In patients with a primary, spontaneous PTX do you place a chest tube? When do you consider a “pigtail” catheter or needle aspiration?
4. When do you do a needle thoracostomy? Where do you put the needle?
EM Lyceum 