Questions and Answers
What is the primary mechanism of injury associated with rib fractures?
Which of the following symptoms is least likely associated with rib fractures?
What should be prioritized if a patient with suspected rib fractures shows audible respiratory changes?
In the context of rib fractures, which condition indicates a potential for ineffective oxygen exchange?
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Which management strategy is appropriate when dealing with rib fractures that are not traumatic?
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Study Notes
Rib Fractures
- Simple rib fractures are not life-threatening, but complex ones can be due to proximity of organs.
- The mechanism of injury (MOI) is typically blunt force trauma.
Signs and Symptoms (S/S)
- Dyspnea (shortness of breath)
- Restricted breathing or pain with breathing
- Pain with laughing, sneezing, or coughing
- Shortness of breath after impact
- Tenderness to palpation (TTP)
- Crepitus (grating or crunching sensation)
- Muscles guarding (muscle tension to protect the area)
Assessment
- Note respiration rate
- Observe the rise and fall of the chest
- Provide oxygen if needed
- Ensure a clear airway
Complications
- Beware of internal bleeding due to penetrating injuries to the lungs, spleen, liver, or kidney
Risk Factors
- Osteoporosis
- Stress fractures
Management
- Palpate with protective equipment to avoid exacerbating pain
- Confirm open and clear airways (audible respiratory changes)
- Provide oxygen if needed
- Administer NSAIDs for pain management
- Apply an ace bandage for non-contact (to avoid pneumonia development)
- Pull from participation if contact sport
Transport Considerations
- Flail chest: ineffective oxygen exchange, difficulty breathing, suspected organ damage
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Description
Identify the signs, symptoms, and mechanisms of rib fractures, including simple and complex cases, and understand their impact on breathing and overall health.
