This study examines how patients’ hemodynamic stability affects the timing and technique of chest tube placement during trauma resuscitation. Using audiovisual recordings from a level I trauma center, the researchers reviewed 31 chest tube placements in 28 patients and compared procedures in hemodynamically stable and unstable groups. The analysis focused on procedural timing, antibiotic administration, and adherence to sterile technique. Although the time spent on individual procedural steps did not differ significantly between groups, the overall time from planning to a functioning chest tube was shorter in unstable patients. Most patients received appropriate antibiotics, but only two procedures were performed under fully sterile conditions. These findings highlight how trauma video review can help evaluate clinical performance, identify gaps in procedural practice, and guide quality improvement efforts to make emergency chest tube placement safer and more efficient.