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The initial treatment of a pneumothorax involves the determination of stability of the patient. Considerations for treatment must be individualized based on the origin and degree of stability. If the patient is relatively asymptomatic with the small spontaneous pneumothorax, inpatient or outpatient observation without intervention may be appropriate. Pleural space air is gradually reabosorbed supplemental oxygen increases the rate of reabsorption. This is all based on the percentage of the pneumothorax. A would always call EMS I would never want a prisoner to die on my watch. And yes those wounds could be sutured.
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