Search

Twenty five per cent of trauma deaths are directly caused by injury to the thorax and, while a minority will require emergency surgery, up to eighty five per cent of chest injuries can be managed without the need for formal surgical intervention.¹ In these cases, rapid recognition and management of life-threatening conditions are key to successful resuscitation.

Thoracostomy (the creation of an artificial opening in the chest wall) is a procedure performed for decompression of the chest, usually by our pre-hospital, surgical or emergency medicine colleagues. It is also the first stage to placing a tube thoracostomy or ‘open’ chest drain. In the context of trauma, emergency lateral thoracostomy is indicated in the following circumstances:

• traumatic tension pneumothorax
• massive haemothorax
• traumatic cardiac arrest.

Anaesthetic room walls are often covered with various posters and warnings reminding staff about recent incidents or safety hazards. Signs prompt us where to find dantrolene or intralipid, or how to confirm tube placement. 

When the RCoA changed its branding in 2016, professional designers were called in and consulted on the changes. When creating clinical informatics however, it is often left to clinicians; but a complex series of decisions that combine aesthetics, psychology, and ergonomics are required to make presentation effective.

In this, the first of a series of articles, we will explore some of the issues relevant to presenting information, beginning with iconography.