Thoracostomy devices and methods of use are provided herein. In some embodiments, a device may include a seal pad, a petroleum jelly augmented material disposed on the seal pad, a slit formed through both the seal pad and the petroleum jelly augmented layer, the slit being configured to receive and overlap at least a portion of a chest tube extending therethrough, and a securement member extending from an edge of the seal pad, the securement member having a surface that is provided with an adhesive, the securement member being configured to wrap around at least a portion of the chest tube to prevent removal of the chest tube from a patient.