Free-floating segment of chest wall:
3 or more adjacent ribs are fractured in 2 or more places.
Rib fractures in conjunction with sternal fractures or costochondral separations
Blunt thoracic trauma by any mechanism
Mechanism as described by patient, parent, or pre-hospital personnel:
Seat belt usage
Steering wheel damage
Air bag deployment
Positioning the patient with the injured side down can stabilize the involved chest wall:
Improve ventilation in noninjured hemithorax.
Thoracic trauma with significant mechanism o...
Early pain control is key.
Beware of concomitant injuries such as pulmonary contusion and pneumothorax.
Elderly patients have significantly poorer outcomes.
Eckstein M, Henderson S. Thoracic trauma. In: Marx J, Hockberger R, Walls R, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice, 7th ed. St. Louis, MO: Mosby; 20...
S22.5XXA Flail chest, initial encounter for closed fracture
S22.5XXB Flail chest, initial encounter for open fracture
78011002 Flail chest (disorder)
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