Journal of the Royal Army Medical Corps
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Many studies have drawn attention to deficiencies in the management of major trauma, both in the UK and elsewhere. One area that has received little attention is the documentation of such cases in the Emergency Room. When outcome may be sub-optimal, documentation assumes greater importance if advances are to be made in the organisation of trauma care. ⋯ It unifies the recording of vital signs, whilst acting as an assessment and resuscitation template. By ensuring no life-threatening illness is missed it is likely to improve patient survival. The document can act as a basis for teaching and a medico-legal record, whilst providing the necessary data for quality assurance and outcome audit.
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Case Reports
Complications of prophylactic intercostal tube drainage--including tension pneumothorax.
A case is presented of tension pneumothorax associated with intercostal tube drainage. Complications of intercostal tube drainage are reviewed.