greetings all, i had a question about if anyone has every heard of a chest tube puncturing or lacerating a lung before. I ask this because a, now deceased, patient i knew personally went into Trauma after an MCA and a left side pneumothorax was recorded along with other traumatic injuries; a size 36 chest tube was inserted and 300mL of blood was obtained. In the final reports, it was said that the injury was a hemopneumothorax and that the patient was bleeding profusely out of it. Although hypotensive on arrival, he was deemed hemo-stable soon after but post chest tube insertion his vitals declined progressively.