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- Title
Do junior doctors know where to insert chest drains safely?
- Authors
Griffiths, J. R.; Roberts, N.
- Abstract
Background: The safe insertion of a chest drain is a skill doctors across specialties require. Incorrect placement can lead to significant morbidity and even mortality. Methods: This audit surveyed junior doctors working in a teaching hospital about their specialty and level of experience with intercostal drains. They were then asked to mark on a photograph where they would insert a chest drain for a pneumothorax in a non-emergency situation. Results: Of the 55 junior doctors surveyed, 45% were outside the safe area of chest drain insertion as defined by the British Thoracic Society. The most common error was a choice of insertion site too low (24%). Conclusions: In this audit 45% of juniors surveyed would have placed a chest drain outside the safe triangle recommended by the British Thoracic Society. The common mistake of a choice of insertion site too low should be discussed in postgraduate teaching programmes.
- Subjects
PHYSICIANS; DISEASES; MORTALITY; TEACHING hospitals; PNEUMOTHORAX; LUNG diseases
- Publication
Postgraduate Medical Journal, 2005, Vol 81, Issue 957, p456
- ISSN
0032-5473
- Publication type
Article
- DOI
10.1136/pgmj.2004.024752