RT Journal Article SR Electronic T1 Fifteen-minute consultation: A structured approach to a child with primary spontaneous pneumothorax JF Archives of disease in childhood - Education & practice edition JO Arch Dis Child Educ Pract Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 320 OP 325 DO 10.1136/archdischild-2021-321730 VO 107 IS 5 A1 Simon James Buckley A1 John Adu A1 Donald Whitaker A1 Atul Gupta YR 2022 UL http://ep.bmj.com/content/107/5/320.abstract AB Primary spontaneous pneumothorax (PSP) is an uncommon presentation in children but may occur at any age and occurs in patients with no pre-existing lung disease. Management aims are to re-expand the collapsed lung, relieve pressure in the intrapleural space and avoid a tension pneumothorax. Correct management of PSP will avoid unnecessary intervention, reduce length of hospital stay and also reduce the risk of recurrence. There are no established guidelines for treating PSP in children and there is significant variation in management among centres and clinicians. This article provides a clear, evidence-based and structured approach to assessment and management of PSP in children and young people.