FOR THE NOVEL. White coated casualty staff, rushing your patient into Cas Theatre, phoning for a Dr, and an anaesthetist. O2 given by a mask with IV lines set up and blood taken for gas analysis. Your patient is in extreme pain and breating problems. In dashes your handsome anaesthetist and passes a tube into the mouth, through the larynx and into the trachea (windpipe) and hooks him up to nthe anaesthetic machine. pain relief is given and a portable X-ray machine is brought and a chest X-Ray is taken to assess underlying lung damage. Wow!! on X-ray air is seen escaping into the pleural cavity thus increasing distress of breathing. Young poorly paid thoracic registrar is called who inserts a drain into the chest between the ribs and hooks it up to a water bottle which bubbles indicating air being released/.