When would you treat a pneumothorax in the field? What specifically are your triggers for watch and wait versus act?

If you are going to treat what is the best way to treat in the field? Should we be teaching the traditional second intercostal space needle? A Lateral needle? A finger thoracostomy? or a quick clamshell? https://www.youtube.com/watch?v=Dn-QY9btaw0&feature=youtu.be

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