A patient presented with a penetrating chest injury, showing clinical signs of a hemothorax or hemopneumothorax including cyanosis, decreased or absent breath sounds on the affected side, tracheal deviation away from the affected side, dull percussion notes, unequal chest rise, tachycardia, hypotension, and pale, cool, clammy skin. An ultrasound and chest X-ray confirmed a hemothorax or hemopneumothorax, which was treated with insertion of an intercostal drain and assisted ventilation if necessary.

2. Associated Clinical Findings
• Penetrating Chest Injury
• Clavicle/ Rib Fractures

3. Clinical Features
• Cyanosis.
• Decreased or absent breath sounds on affected
side.
• Tracheal deviation to unaffected side.
• Dull resonance on percussion.
• Unequal chest rise.
• Tachycardia.
• Hypotension.
• Pale, cool, clammy skin.

4. As Seen in USG

6. Worsening Hemothorax

7. Well Established Hemopneumothorax

9. INTERCOSTAL ANATOMY

11. TRIANGLE OF SAFETY

13. Immediate C xray after insertion of
intercostal drain

16. Assisted Ventilation
if
neccessary

17. gracias