An integrated chest evacuation tube that is specifically configured to function as a closed tube when inserted and retained inside of a chest cavity to provide enhanced benefits over the state of the art. The integrated chest evacuation tube generally includes a fluid impermeable membrane fixedly attached to a single flexible hollow tube. The fluid impermeable membrane is interposed between an inlet port and an outlet port or optionally at said outlet port of a chest tube. The membrane is configured to seal the tube's passageway from any transfer of the fluid. The impermeable membrane is adapted to be ruptured by a force other than pressure from said fluid.