Chest trauma is well recognised to occur following high velocity trauma such as traffic related injury, but frequently occurs as the result of falls and low velocity injury in the elderly (Curtis et al. 2010).
The management of chest trauma has demonstrated the need for multi-modal care, including pain relief, physiotherapy, respiratory interventions and more recently the options for surgical stabilisation (Barrett-Connor et al. 2010), (Kourouche et al. 2018).
Each kit is a collection of tools and resources to guide the effective delivery of a trauma education event. The kits are designed for use in any Queensland Health facility and can be modified by the facilitator to the needs of the learner, as well as the environment in which the education is being delivered.
Blunt chest trauma
This resource kit provides healthcare workers with the skills and knowledge to effectively assess and manage a patient suffering blunt chest trauma injuries. The scenario encompasses the decision making and procedural skill for insertion of an intercostal catheter to manage a traumatic haemo-pneumothorax.
Penetrating chest trauma
This resource kit provides healthcare workers with the skills to assess and manage low velocity penetrating chest wall trauma. The scenario encompasses the decision making and procedural skill for insertion of an intercostal catheter to manage a traumatic haemo-pneumothorax.
Intercostal catheter insertion and removal
This resource kit provides healthcare workers with the knowledge and skills to perform the insertion of an intercostal catheter (ICC) to manage a patient with blunt chest trauma, including the indications and considerations for ICC placement.
Links to relevant clinical guidelines.
- Clinical Practice Guidelines: Trauma/Chest injuries - Queensland Ambulance Service
- Blunt Chest Trauma - Clinical Practice Guideline - Clinical Excellence Queensland
- Chest Trauma - Queensland Aeromedical Standard Operating Procedures - Queensland Health
Other resources and tools on the topic of chest trauma.
- Opioid stewardship in trauma care - Royal Brisbane and Women's Hospital
- Statewide Trauma Forum 2021 - Focus on Chest Trauma - Part 1 - Clinical Excellence Queensland
- Statewide Trauma Forum 2021 - Focus on Chest Trauma - Part 2 - Clinical Excellence Queensland
- Chest assessment and imaging - Jamieson Trauma Institute
- Chest injury rehabilitation and intercostal catheter management - Jamieson Trauma Institute
- Chest injury management – regional analgesia and surgical intervention - Jamieson Trauma Institute
- Intercostal catheter insertion and management - Clinical Skills Development Service
- RBWH Management of Blunt Chest Injury - Metro North Hospital and Health Service
- Primary Clinical Care Manual (10th Edition) - Chest p.171 - Queensland Health