Here's one possibility using the mdframed
package and \marginnote
from the marginnote
package:
\documentclass{article}
\usepackage[lmargin=5cm,textwidth=15cm,marginparwidth=4cm]{geometry}
\usepackage[dvipsnames]{xcolor}
\usepackage{ragged2e}
\usepackage[framemethod=tikz]{mdframed}
\usepackage{marginnote}
\usetikzlibrary{calc}
\usepackage{lipsum}
\reversemarginpar
\newsavebox\mybox
\newlength\BoxHt
\newcommand\caution[2][-2.2\baselineskip]{%
\begin{lrbox}{\mybox}
\parbox{\marginparwidth}{#2}
\end{lrbox}%
\settoheight\BoxHt{\usebox\mybox}%
\raisebox{\BoxHt}[0pt][0pt]{\marginnote{%
\begin{mdframed}[
userdefinedwidth=\marginparwidth,
innerleftmargin=3pt,
innerrightmargin=3pt,
linecolor=BrickRed,
frametitle=\colorbox{white}{\space Caution\space},
frametitlefont=\color{BrickRed}\sffamily,
innertopmargin=10pt,
frametitleaboveskip=-\ht\strutbox,
frametitlebelowskip=-\ht\strutbox,
frametitlealignment=\raggedright,
singleextra={\fill[BrickRed] let \p1=(P), \p2=(O) in
( $ (P|-0,0.5*\y2+0.5*\y1) + (0,-4pt) $ ) -- +(4pt,4pt) -- +(0,8pt) -- cycle;}
]\RaggedRight\small#2\end{mdframed}}[#1]}}
\begin{document}
\lipsum*[3-4]\caution{\lipsum[2]}\lipsum[3-5]
Some test text\caution{Some text goes here just to illustrate the command}
\end{document}

A zoomed image:

The optional argument for \caution
allows you to control the vertical shifting if necessary.
And here's another simpler option (which I personally like more) using tikz
(and tikzpagenodes
):
\documentclass{article}
\usepackage[lmargin=5cm,textwidth=15cm,marginparwidth=4cm]{geometry}
\usepackage[dvipsnames]{xcolor}
\usepackage{ragged2e}
\usepackage[framemethod=tikz]{mdframed}
\usepackage{tikzpagenodes}
\usetikzlibrary{calc}
\usepackage{lipsum}
\newcounter{mycaution}
\newcommand\tikzmark[1]{%
\tikz[remember picture,overlay]\node[inner xsep=0pt,outer sep=0pt] (#1) {};}
\newcommand\caution[1]{%
\stepcounter{mycaution}%
\tikzmark{\themycaution}%
\begin{tikzpicture}[remember picture,overlay]
\node[draw=BrickRed,anchor=east,xshift=-\marginparsep]
(mybox\themycaution)
at ([yshift=3pt]current page text area.west|-\themycaution)
{\parbox{\marginparwidth}{\vskip10pt\RaggedRight\small#1}};
\node[fill=white,font=\color{BrickRed}\sffamily,anchor=west,xshift=7pt]
at (mybox\themycaution.north west) {\ Caution!\ };
\fill[BrickRed]
([yshift=3pt]mybox\themycaution.east) --
([xshift=3pt]mybox\themycaution.east) --
([yshift=-3pt]mybox\themycaution.east) -- cycle;
\end{tikzpicture}%
}
\begin{document}
\lipsum*[3-4]\caution{\lipsum[2]}\lipsum[3-5]
Some test text\caution{Some text goes here just to illustrate the command}
\end{document}

And a zoomed image:

An improved version; now there's an optional argument allowing you to change the position of the box and of the pointer; possible values are b
, t
, and c
, to place the pointer at the bottom, at the top, and at the center, respectively, of the box:
\documentclass{article}
\usepackage[lmargin=5cm,textwidth=15cm,marginparwidth=4cm]{geometry}
\usepackage[dvipsnames]{xcolor}
\usepackage{ragged2e}
\usepackage[framemethod=tikz]{mdframed}
\usepackage{tikzpagenodes}
\usetikzlibrary{calc}
\usepackage{lipsum}
\newcounter{mycaution}
\newcommand\pointeranchor{}
\newcommand\boxanchor{}
\newlength\boxvshift
\newlength\uppertrianglecorner
\newcommand\tikzmark[1]{%
\tikz[remember picture,overlay]\node[inner xsep=0pt,outer sep=0pt] (#1) {};}
\newcommand\caution[2][c]{%
\stepcounter{mycaution}%
\tikzmark{\themycaution}%
\if#1b\relax
\renewcommand\pointeranchor{mybox\themycaution.south east}%
\renewcommand\boxanchor{south east}%
\setlength\boxvshift{-10pt}%
\setlength\uppertrianglecorner{13pt}%
\else
\if#1t\relax
\renewcommand\pointeranchor{mybox\themycaution.north east}%
\renewcommand\boxanchor{north east}%
\setlength\boxvshift{10pt}%
\setlength\uppertrianglecorner{-7pt}%
\else
\if#1c\relax
\renewcommand\pointeranchor{mybox\themycaution.east}%
\renewcommand\boxanchor{east}%
\setlength\boxvshift{0pt}%
\setlength\uppertrianglecorner{3pt}%
\fi\fi\fi%
\begin{tikzpicture}[remember picture,overlay]
\node[draw=BrickRed,anchor=\boxanchor,xshift=-\marginparsep,yshift=\boxvshift]
(mybox\themycaution)
at ([yshift=3pt]current page text area.west|-\themycaution)
{\parbox{\marginparwidth}{\vskip10pt\RaggedRight\small#2}};
\node[fill=white,font=\color{BrickRed}\sffamily,anchor=west,xshift=7pt]
at (mybox\themycaution.north west) {\ Caution!\ };
\fill[BrickRed]
([yshift=\uppertrianglecorner]\pointeranchor) --
([yshift=\uppertrianglecorner-3pt,xshift=3pt]\pointeranchor) --
([yshift=\uppertrianglecorner-6pt]\pointeranchor) -- cycle;
\end{tikzpicture}%
}
\newcommand\Test{Nulla malesuada porttitor diam. Donec felis erat, congue non, volutpat at, tincidunt tristique, libero. Vivamus viverra fermentum felis. Donec nonummy pellentesque ante. Phasellus adipiscing
semper elit.}
\begin{document}
\lipsum*[4]\caution[t]{\Test}\lipsum[3]\par\bigskip
\lipsum*[4]\caution{\Test}\lipsum[3]\par\bigskip
\lipsum*[4]\caution[b]{\Test}\lipsum[3]
\end{document}

The t
option is useful if the box will appear in the first lines of the text area; b
can be used in case the box will appear near the bottom of the text area.
A little variation required in a comment; now \caution has three optional arguments and a mandatory one:
\caution[<pos>][<color>][<title>]{<text>}
where ias an in the code immediately before, and can be b
, t
, or c
(default=c
); <color>
controls the color used for the frame and title (default=BrickRed
); <title>
changes the title used for the frame (defualt=Caption!
); <text>
is the content of the note.
\documentclass{article}
\usepackage[lmargin=5cm,textwidth=15cm,marginparwidth=4cm]{geometry}
\usepackage[dvipsnames]{xcolor}
\usepackage{ragged2e}
\usepackage{xparse}
\usepackage[framemethod=tikz]{mdframed}
\usepackage{tikzpagenodes}
\usetikzlibrary{calc}
\usepackage{lipsum}
\newcounter{mycaution}
\newcommand\pointeranchor{}
\newcommand\boxanchor{}
\newlength\boxvshift
\newlength\uppertrianglecorner
\newcommand\tikzmark[1]{%
\tikz[remember picture,overlay]\node[inner xsep=0pt,outer sep=0pt] (#1) {};}
\NewDocumentCommand{\caution}{O{c}O{BrickRed}O{Caution!}m}{%
\stepcounter{mycaution}%
\tikzmark{\themycaution}%
\if#1b\relax
\renewcommand\pointeranchor{mybox\themycaution.south east}%
\renewcommand\boxanchor{south east}%
\setlength\boxvshift{-10pt}%
\setlength\uppertrianglecorner{13pt}%
\else
\if#1t\relax
\renewcommand\pointeranchor{mybox\themycaution.north east}%
\renewcommand\boxanchor{north east}%
\setlength\boxvshift{10pt}%
\setlength\uppertrianglecorner{-7pt}%
\else
\if#1c\relax
\renewcommand\pointeranchor{mybox\themycaution.east}%
\renewcommand\boxanchor{east}%
\setlength\boxvshift{0pt}%
\setlength\uppertrianglecorner{3pt}%
\fi\fi\fi%
\begin{tikzpicture}[remember picture,overlay]
\node[draw=#2,anchor=\boxanchor,xshift=-\marginparsep,yshift=\boxvshift]
(mybox\themycaution)
at ([yshift=3pt]current page text area.west|-\themycaution)
{\parbox{\marginparwidth}{\vskip10pt\RaggedRight\small#4}};
\node[fill=white,font=\color{#2}\sffamily,anchor=west,xshift=7pt]
at (mybox\themycaution.north west) {\ #3\ };
\fill[#2]
([yshift=\uppertrianglecorner]\pointeranchor) --
([yshift=\uppertrianglecorner-3pt,xshift=3pt]\pointeranchor) --
([yshift=\uppertrianglecorner-6pt]\pointeranchor) -- cycle;
\end{tikzpicture}%
}
\newcommand\Test{Nulla malesuada porttitor diam. Donec felis erat, congue non, volutpat at, tincidunt tristique, libero. Vivamus viverra fermentum felis. Donec nonummy pellentesque ante. Phasellus adipiscing
semper elit.}
\begin{document}
\lipsum*[4]\caution[t]{\Test}\lipsum[3]\par\bigskip
\lipsum*[4]\caution[c][cyan!80!black]{\Test}\lipsum[3]\par\bigskip
\lipsum*[4]\caution[b][orange][Defcon 5!]{\Test}\lipsum[3]
\end{document}

marginnote
would allow a vertical shift of the caution note. But this would be used just in extreme case where such a vertical shift is necessary. I know margin notes cannot break pages so that is out of the question.