Element 51 - C/P and move to top middle but a bit to the right of tag.  I also decided to use the CU of the tube here.  So I went to SELECTIONS - SELECT ALL - FLOAT - DEFLOAT and then pasted the CU of tube over this element.  I then resized the CU 80%.  Moved it into place.

SELECTIONS - INVERT - DELETE - SELECTIONS - INVERT.  
Duplicate the tube layer.  
ADJUST – BLUR – GAUSSIAN BLUR – RADIUS 25 - OK.
Change BLEND MODE of copy of tube layer to HARD LIGHT and leave the original tube layer on MULTIPLY and reduced opacity to 40%.
(see tag for placement)
Element 48  - C/P and re-size 30%.  Move to top right on tag over element 51.
(see tag for placement)
Element 69 - C/P and re-size 80%.  Move to right side of tag.  Duplicate and mirror.
(see tag for placement)
Element 49 - C/P and move up and a bit left on tag.
(see tag for placement)
Element 59 - C/P and re-size 40%.  Move to middle left side of tag over left side of element 49.
(see tag for placement)
Element 29 - C/P and re-size 75%.  Move to bottom middle of tag in front of element 49.
(see tag for placement)
Element 38 - C/P and and re-size 50%.  Move to middle left side of tag.  Duplicate and mirror.
(see tag for placement)
Element 46 - C/P and re-size 75%.  Move to bottom left side of tag.  Duplicate and mirror.
(see tag for placement)
Element 45 - C/P and re-size 50%.  Move to bottom left side of tag in front of element 46.  Duplicate and mirror.
(see tag for placement)
Element 61 - C/P and re-size 50%.  Move to bottom left side of tag in front of element 45.
(see tag for placement)
Element 52 - C/P and re-size 20%. Move to lower right side of tag over copy of element 61.
(see tag for placement)
Element 42 - C/P and move to bottom middle of tag.
(see tag for placement) 
Element 35 - C/P and move to bottom middle of tag in front of element 42.
(see tag for placement)
Element 20 - C/P and re-size 70%.  Move to bottom middle of tag in front of element 35 so that it looks like the fire is coming out the back of the skulls.
(see tag for placement)
Element 26 - C/P and re-size 20%.  Move to lower left side of tag over element 20.
(see tag for placement)

Now for the tube(s):
If you are using the same tube as me, grab it now.  C/P and move her to the bottom of the tag in the middle of element 42.  Move this layer to just above layer 42.
(see tag for placement)

I used: 
V & H 2
Opacity 70
Blur 7
Color Black

 Now you can add name and  © information.  Save as .png and re-size if you wish.