$rib fracture$

Rib fracture trial#

This issue reviews the recent studies and evidence for multimodal pain control, decision tools for diagnostic imaging, ventilatory support, and operative fixation. Society guidelines have been published to assist in determining best-practice approaches to pain control, imaging, and treatment. Given the risk for morbidity and mortality, the emergency clinician must be swift and thorough in diagnosing and managing these injuries.

$rib fracture$

Rib fractures resulting from blunt thoracic trauma are often associated with life-threatening complications of injury to cardiorespiratory systems. Emergency Department Rib Fracture Management Pathway According to Forced Vital Capacity Ultrasound of a Normal Lung Versus an Injured Lung Pneumothorax on Chest X-Ray and Computed Tomography Battle Score for Mortality Complications in Emergency Department Patients with Rib Fracture Ventilation Recommendations for Patients With Rib Fractures American College of Radiology Appropriateness Criteria® for Chest Imaging after Minor Blunt Trauma Confined to the Chest Clinical Pathway for Emergency Department Management of Rib Fractures.Risk Management Pitfalls for Managing Rib Fractures in the Emergency Department Treatment of Complications of Rib Fractures Operative Fixation of Acute Rib Fractures Noninvasive Positive Pressure Ventilation Oral, Intravenous, and Topical Pharmacological TreatmentsĪdjuvant Pharmacologic Pain Management Agents Using the Battle score, Forced Vital Capacity pathway, or the RibScore Criteria tools to determine whether ICU admission is necessary Recent evidence and guidelines on early operative fixation of acute rib fractures that point toward improved outcomes

Rib fracture trial#

When ventilatory support is needed, an individualized approach is ideal, with a trial of noninvasive positive pressure ventilation or high-flow nasal cannula prior to initiating invasive ventilation Opioids, NSAIDs, and acetaminophen are mainstays of pain management, but what is the evidence on using ketamine, gabapentin, methocarbamol, and lidocaine patches as adjuvant agents?

$rib fracture$

When chest radiography alone is sufficient, when CT is indicated, and when ultrasound can be useful Using the NEXUS Chest Decision Instrument to determine the need for radiography, and using the NEXUS Chest CT Decision Instrument to determine the need for CT imaging How the history helps to form the patient’s risk profile, along with imaging, pain control, and disposition requirements This issue reviews the most recent evidence on diagnosis and management of rib fractures, including the following: Rib fractures that result from blunt thoracic trauma are painful injuries that can signal life-threatening cardiopulmonary injury, and quick recognition of the risk factors and optimal diagnostic imaging and treatment are essential to avoid significant morbidity and mortality.

$rib fracture$