Prospective Evaluation of 14F Thal Tube vs 28 French Chest Tube for Hemothorax and Use of Maximum Barrier Precautions

Inclusion Criteria: * The patient is admitted to the trauma service. * The patient has a hemothorax and/or or hemopneumothorax, requiring thoracostomy tube placement. * Thoracostomy tube placement is able to be performed or witnessed by an investigator listed on the study. * The patient has not had a chest tube in the past year. * The patient is \>18 years of age. * In the event the patient is decisionally impaired, consent will be obtained from the individual's legally authorized representative (LAR) or from the individual's healthcare power of attorney (HPA). * In the instance of reversible impairment, initial consent would be obtained from the LAR/HPA and the patient will be approached for consent once he/she is deemed mentally competent by the care provider. Exclusion Criteria: * The patient is incarcerated * The patient is known to be pregnant * The patient is \< 18 years of age * The patient is hemodynamically unstable, requiring emergent chest tube placement (in \<10 minutes from evaluation).