Flail Chest
Rib Fractures
Sternum
Thoracic Surgical Procedures
Wounds, Nonpenetrating
Chordae Tendineae
Pathophysiology and management of the flail chest. (1/15)
Flail chest occurs when a series of adjacent ribs are fractured in at least 2 places, anteriorly and posteriorly. This section of the chest wall becomes unstable and it moves inwards during spontaneous inspiration. The physiological impact of a flail chest depends on multiple factors, including the size of the flail segment, the intrathoracic pressure generated during spontaneous ventilation, and the associated damage to the lung and chest wall. Treatment varies with the severity of the physiologic impairment attributable to the flail segment itself. Immediate surgical fixation may decrease morbidity, but conservative treatment with positive pressure ventilation is preferred when multiple injuries to the intrathoracic organs are present. (+info)A comparative study of continuous positive airway pressure (CPAP) and intermittent positive pressure ventilation (IPPV) in patients with flail chest. (2/15)
INTRODUCTION: The role of non-invasive positive pressure ventilation delivered through a face mask in patients with flail chest is uncertain. We conducted a prospective, randomised study of continuous positive airway pressure (CPAP) given via a face mask to spontaneously breathing patients compared with intermittent positive pressure ventilation (IPPV) with endotracheal intubation (ETI) in 52 patients with flail chest who required mechanical ventilation. METHOD: The 52 mechanically ventilated patients were randomly divided into two treatment groups: the ET group (n = 27) received mechanical ventilation with ETI, whereas patients in the CPAP group (n = 25) received CPAP via a face mask with patient controlled analgesia (PCA). Major complications, arterial blood gas levels, length of intensive care unit (ICU) stay and ICU survival rate were recorded. RESULTS: Nosocomial infection was diagnosed in 10 of 21 patients in the ET group, but only in 4 of 22 in the CPAP group (p = 0.001). Mean PO(2) was significantly higher in the ET group in the first 2 days (p<0.05). There were no significant differences in length of ICU stay between groups. Twenty CPAP patients survived, but only 14 of 21 intubated patients who received IPPV (p<0.01). CONCLUSION: Non-invasive CPAP with PCA led to lower mortality and a lower nosocomial infection rate, but similar oxygenation and length of ICU stay. The study supports the application of CPAP at least as a first line of treatment for flail chest caused by blunt thoracic trauma. (+info)Tension pneumothorax and the "forbidden CXR". (3/15)
A case is presented of unilateral tension pneumothorax associated with flail chest and pulmonary contusions in a spontaneously ventilating patient after a fall. The tension element was not suspected until chest x ray was available, nor was immediate needle thoracocentesis performed. No morbidity resulted as a consequence. This case highlights the difficulty in deciding whether or not tension pneumothorax is the predominant cause of respiratory distress in a patient with multiple chest injuries. It provides further evidence challenging some of the doctrine on how to treat suspected tension pneumothorax. (+info)An unusual cause of chest pain. (4/15)
Flail chest is an uncommon condition that generally arises due to a significant impact to the chest, resulting in multiple fractures of the anterior and posterior ribs. This force may be much less if the bones are weakened for any reason, in osteoporosis or myeloma for instance. We describe a case of flail segment that arose secondary to a large sternal abscess resulting from methicillin-resistant Staphylococcus aureus bacteraemia. (+info)Unilateral flail chest is seldom a lethal injury. (5/15)
BACKGROUND: The chest cage is a common target for traumatic damage. Although relatively rare, it is considered to be a serious condition with significant reported mortalities. As most flail injuries are accompanied by severe extrathoracic injuries, it is often difficult to pinpoint a single injury responsible for the patient's death. AIM: To investigate the factors related to mortality when flail injury is diagnosed. METHODS: Data from the Israel National Trauma Registry between 1998 and 2003 included 11,966 chest injuries (262 flail chest injuries) out of a total of 118,211 trauma hospitalisations. Mortality figures were analysed to determine which factors, singly or in combination, influenced flail chest mortality. RESULTS: Road crashes accounted for most flail injuries (76%). The total mortality was 54 (20.6%) of 262 patients with flail chest injuries. 13 (20.4%) of the deaths occurred soon after admission to the emergency room and 37 (68.5%) within the first 24 h. Mortality in moderate to severe injuries (injury severity score (ISS) 9-24) was 3.6% and that in critical injuries 28.5% (ISS >24). Mortality increased with age: 17% in those aged <45 years, 22.1% in those between 45 and 64 years and 28.8% in those >65 years. Age remained a risk for inpatient death when adjusted for severity. Mortality in isolated unilateral flail injury was not more than 6%. Total mortality for traumatic brain injury (TBI) and flail was 34%. Flail, TBI and other major injuries increased the mortality to 61.1%. CONCLUSIONS: Advanced age is associated with higher mortality. Isolated unilateral bony cage instability infrequently leads to death in patients who make it to the emergency department but rather its combination with additional extrathoracic trauma. (+info)Traumatic intercostal pulmonary herniation: a case report. (6/15)
We report a case of intercostal pulmonary hernia through a defect in the wall of the thoracic cavity which occurred after blunt thoracic trauma. Diagnosis of pulmonary herniation was confirmed radiologically by chest X-ray and computed tomographic scan. After initial inspection by video-assisted thoracoscopy which also revealed a diaphragmatic rupture, a postero-lateral thoracotomy was performed. The defect of the thoracic wall was repaired with two reconstruction plates. The hernia was successfully repaired with prosthetic mesh. Review of the literature shows that when required, surgical repair of pulmonary herniation is the treatment of choice. (+info)Operative stabilization of skeletal chest injuries secondary to cardiopulmonary resuscitation in a cardiac surgical patient. (7/15)
(+info)Treatment with internal pneumatic stabilization for anterior flail chest. (8/15)
OBJECTIVE: Advantages and disadvantages have been reported for both internal pneumatic stabilization and surgical stabilization as treatments for anterior flail chest. We retrospectively investigated therapeutic outcomes and problems associated with pneumatic stabilization for anterior flail chest patients. METHODS: Subjects were 43 patients admitted to Tokai University Hospital with anterior flail chest, 1988-1999. Pneumatic stabilization was performed with continuous positive pressure ventilation and a positive end-expiratory pressure of 10 cm H20 or higher. We analyzed mean times required for pneumatic stabilization, weaning, and mechanical ventilation; sternal fracture (presence vs. absence); survival, and other clinical variables. RESULTS: Continuous positive pressure ventilation was needed for 12.5 days and mechanical ventilation for 15.6 days. Flail chest was relieved by pneumatic stabilization alone in 42 patients; 1 patient with a displaced sternal fracture required sternal fixation. Four cases were complicated by pneumonia. Pneumatic stabilization allowed physicians to treat severe combined nonthoracic organ injuries during the acute phase. Forty patients survived, and 3 died from nonthoracic injuries (survival rate 93%). CONCLUSIONS: Anterior flail chest unaccompanied by sternal fracture can be relieved by pneumatic stabilization alone. We hope to combine pneumatic stabilization with simple surgical stabilization in anterior flail chest patients to shorten the mechanical ventilation period. (+info)Flail chest is a severe thoracic trauma condition characterized by a segment of the rib cage that is detached and moves paradoxically inward during inspiration and outward during expiration, often associated with pulmonary contusion and hypoxemia.
Flail chest is a serious injury to the thorax characterized by a segment of the chest wall that moves paradoxically in relation to the rest of the chest wall during respiration. This occurs due to multiple rib fractures at two or more places, resulting in a free-floating section of the chest wall that is not connected to the sternum or spine.
During inspiration, when the chest normally expands, the flail segment moves inward, and during expiration, it moves outward, which can lead to significant impairment of ventilation and oxygenation. Flail chest can result from high-impact trauma such as motor vehicle accidents or falls, and it is often associated with underlying lung contusions or other injuries. It requires immediate medical attention and may necessitate mechanical ventilation and surgical stabilization of the rib cage to prevent complications such as pneumonia and respiratory failure.
"Thoracic injuries refer to any damages or traumas inflicted on the thorax, encompassing the structures such as the ribs, sternum, lungs, heart, great vessels, and other organs within the chest cavity."
Thoracic injuries refer to damages or traumas that occur in the thorax, which is the part of the body that contains the chest cavity. The thorax houses vital organs such as the heart, lungs, esophagus, trachea, and major blood vessels. Thoracic injuries can range from blunt trauma, caused by impacts or compressions, to penetrating trauma, resulting from stabbing or gunshot wounds. These injuries may cause various complications, including but not limited to:
1. Hemothorax - bleeding into the chest cavity
2. Pneumothorax - collapsed lung due to air accumulation in the chest cavity
3. Tension pneumothorax - a life-threatening condition where trapped air puts pressure on the heart and lungs, impairing their function
4. Cardiac tamponade - compression of the heart caused by blood or fluid accumulation in the pericardial sac
5. Rib fractures, which can lead to complications like punctured lungs or internal bleeding
6. Tracheobronchial injuries, causing air leaks and difficulty breathing
7. Great vessel injuries, potentially leading to massive hemorrhage and hemodynamic instability
Immediate medical attention is required for thoracic injuries, as they can quickly become life-threatening due to the vital organs involved. Treatment may include surgery, chest tubes, medications, or supportive care, depending on the severity and type of injury.
Rib fractures are breaks or cracks in the rib bones, which can occur at any location along the rib's length, often caused by direct trauma or severe coughing, and may result in pain, difficulty breathing, and increased risk of complications such as pneumonia.
Rib fractures are breaks or cracks in the bones that make up the rib cage, which is the protective structure around the lungs and heart. Rib fractures can result from direct trauma to the chest, such as from a fall, motor vehicle accident, or physical assault. They can also occur from indirect forces, such as during coughing fits in people with weakened bones (osteoporosis).
Rib fractures are painful and can make breathing difficult, particularly when taking deep breaths or coughing. In some cases, rib fractures may lead to complications like punctured lungs (pneumothorax) or collapsed lungs (atelectasis), especially if multiple ribs are broken in several places.
It is essential to seek medical attention for suspected rib fractures, as proper diagnosis and management can help prevent further complications and promote healing. Treatment typically involves pain management, breathing exercises, and, in some cases, immobilization or surgery.
A contusion, also known as a bruise, is a type of blunt injury that results in damage to the soft tissues, causing discoloration and pain without breaking the skin.
A contusion is a medical term for a bruise. It's a type of injury that occurs when blood vessels become damaged or broken as a result of trauma to the body. This trauma can be caused by a variety of things, such as a fall, a blow, or a hit. When the blood vessels are damaged, blood leaks into the surrounding tissues, causing the area to become discolored and swollen.
Contusions can occur anywhere on the body, but they are most common in areas that are more likely to be injured, such as the knees, elbows, and hands. In some cases, a contusion may be accompanied by other injuries, such as fractures or sprains.
Most contusions will heal on their own within a few days or weeks, depending on the severity of the injury. Treatment typically involves rest, ice, compression, and elevation (RICE) to help reduce swelling and pain. In some cases, over-the-counter pain medications may also be recommended to help manage discomfort.
If you suspect that you have a contusion, it's important to seek medical attention if the injury is severe or if you experience symptoms such as difficulty breathing, chest pain, or loss of consciousness. These could be signs of a more serious injury and require immediate medical attention.
A tracheotomy is a surgical procedure that involves creating an opening in the trachea (windpipe) through the neck, which allows for direct access to the airway, often performed as a lifesaving measure in critical care settings or to manage long-term respiratory issues.
A tracheotomy is a surgical procedure that involves creating an opening in the neck and through the front (anterior) wall of the trachea (windpipe). This is performed to provide a new airway for the patient, bypassing any obstruction or damage in the upper airways. A tube is then inserted into this opening to maintain it and allow breathing.
This procedure is often conducted in emergency situations when there is an upper airway obstruction that cannot be easily removed or in critically ill patients who require long-term ventilation support. Complications can include infection, bleeding, damage to surrounding structures, and difficulties with speaking, swallowing, or coughing.
Multiple trauma, also known as polytrauma, is a severe injury or a combination of injuries incurred at once, affecting two or more different body parts or systems, often with the potential for significant morbidity and mortality.
Multiple trauma, also known as polytrauma, is a medical term used to describe severe injuries to the body that are sustained in more than one place or region. It often involves damage to multiple organ systems and can be caused by various incidents such as traffic accidents, falls from significant heights, high-energy collisions, or violent acts.
The injuries sustained in multiple trauma may include fractures, head injuries, internal bleeding, chest and abdominal injuries, and soft tissue injuries. These injuries can lead to a complex medical situation requiring immediate and ongoing care from a multidisciplinary team of healthcare professionals, including emergency physicians, trauma surgeons, critical care specialists, nurses, rehabilitation therapists, and mental health providers.
Multiple trauma is a serious condition that can result in long-term disability or even death if not treated promptly and effectively.
The sternum, also known as the breastbone, is a long, flat bone located in the central part of the chest, connecting to and providing support for the ribs via costal cartilages, forming the front part of the thoracic cage that protects the heart and lungs.
The sternum, also known as the breastbone, is a long, flat bone located in the central part of the chest. It serves as the attachment point for several muscles and tendons, including those involved in breathing. The sternum has three main parts: the manubrium at the top, the body in the middle, and the xiphoid process at the bottom. The upper seven pairs of ribs connect to the sternum via costal cartilages.
Thoracic surgical procedures are operative interventions performed on the thorax, including the heart, lungs, esophagus, and other related structures, to diagnose, treat, or manage various conditions such as cancer, trauma, or degenerative diseases.
Thoracic surgical procedures refer to the operations that are performed on the thorax, which is the part of the body that lies between the neck and the abdomen and includes the chest cage, lungs, heart, great blood vessels, esophagus, diaphragm, and other organs in the chest cavity. These surgical procedures can be either open or minimally invasive (using small incisions and specialized instruments) and are performed to diagnose, treat, or manage various medical conditions affecting the thoracic organs, such as:
1. Lung cancer: Thoracic surgeons perform lung resections (lobectomy, segmentectomy, wedge resection) to remove cancerous lung tissue. They may also perform mediastinal lymph node dissection to assess the spread of the disease.
2. Esophageal surgery: Surgeries like esophagectomy are performed to treat esophageal cancer or other conditions affecting the esophagus, such as severe GERD (gastroesophageal reflux disease).
3. Chest wall surgery: This includes procedures to repair or replace damaged ribs, sternum, or chest wall muscles and treat conditions like pectus excavatum or tumors in the chest wall.
4. Heart surgery: Thoracic surgeons collaborate with cardiac surgeons to perform surgeries on the heart, such as coronary artery bypass grafting (CABG), valve repair/replacement, and procedures for treating aneurysms or dissections of the aorta.
5. Diaphragm surgery: Procedures like diaphragm plication are performed to treat paralysis or weakness of the diaphragm that can lead to respiratory insufficiency.
6. Mediastinal surgery: This involves operating on the mediastinum, the area between the lungs, to remove tumors, cysts, or other abnormal growths.
7. Pleural surgery: Procedures like pleurodesis or decortication are performed to manage conditions affecting the pleura (the membrane surrounding the lungs), such as pleural effusions, pneumothorax, or empyema.
8. Lung surgery: Thoracic surgeons perform procedures on the lungs, including lobectomy, segmentectomy, or pneumonectomy to treat lung cancer, benign tumors, or other lung diseases.
9. Tracheal surgery: This includes procedures to repair or reconstruct damaged trachea or remove tumors and growths in the airway.
10. Esophageal surgery: Collaborating with general surgeons, thoracic surgeons perform esophagectomy and other procedures to treat esophageal cancer, benign tumors, or other conditions affecting the esophagus.
Nonpenetrating wounds refer to trauma that does not break the skin or mucous membrane but causes injury to underlying tissues, organs, or bones through blunt force mechanisms, such as contusions (bruises), abrasions, or hematomas.
Nonpenetrating wounds are a type of trauma or injury to the body that do not involve a break in the skin or underlying tissues. These wounds can result from blunt force trauma, such as being struck by an object or falling onto a hard surface. They can also result from crushing injuries, where significant force is applied to a body part, causing damage to internal structures without breaking the skin.
Nonpenetrating wounds can cause a range of injuries, including bruising, swelling, and damage to internal organs, muscles, bones, and other tissues. The severity of the injury depends on the force of the trauma, the location of the impact, and the individual's overall health and age.
While nonpenetrating wounds may not involve a break in the skin, they can still be serious and require medical attention. If you have experienced blunt force trauma or suspect a nonpenetrating wound, it is important to seek medical care to assess the extent of the injury and receive appropriate treatment.
The chordae tendineae, in cardiac anatomy, are thin cord-like tendons that attach the heart's papillary muscles to the tricuspid and mitral valves, helping maintain their proper position and function during heart contractions.
The chordae tendineae are cord-like tendons that attach the heart's papillary muscles to the tricuspid and mitral valves in the heart. They play a crucial role in preventing the backflow of blood into the atria during ventricular contraction. The chordae tendineae ensure that the cusps of the atrioventricular valves close properly and maintain their shape during the cardiac cycle. Damage to these tendons can result in heart conditions such as mitral or tricuspid valve regurgitation.
'Chest pain' is a symptom characterized by discomfort or unpleasant sensation in the thoracic region, ranging from sharp stabbing to dull aching, heavy, burning, crushing, or ripping, which may be caused by various medical conditions affecting the heart, lungs, esophagus, ribs, muscles, or skin.
Chest pain is a discomfort or pain that you feel in the chest area. The pain can be sharp, dull, burning, crushing, heaviness, or tightness. It may be accompanied by other symptoms such as shortness of breath, sweating, nausea, dizziness, or pain that radiates to the arm, neck, jaw, or back.
Chest pain can have many possible causes, including heart-related conditions such as angina or a heart attack, lung conditions such as pneumonia or pleurisy, gastrointestinal problems such as acid reflux or gastritis, musculoskeletal issues such as costochondritis or muscle strain, and anxiety or panic attacks.
It is important to seek immediate medical attention if you experience chest pain that is severe, persistent, or accompanied by other concerning symptoms, as it may be a sign of a serious medical condition. A healthcare professional can evaluate your symptoms, perform tests, and provide appropriate treatment.
Flail chest
Two of the symptoms of flail chest are chest pain and shortness of breath. The characteristic paradoxical motion of the flail ... Falls account for 14% of flail chest injuries. Flail chest typically occurs when three or more adjacent ribs are fractured in ... The most common causes of flail chest injuries are vehicle collisions, which account for 76% of flail chest injuries. Another ... Bjerke, H Scott (2006-06-16). "Flail Chest". eMedicine. Retrieved 2007-08-01. Gipson CL, Tobias JD (2006). "Flail Chest in a ...
Rapid trauma assessment
... including penetrating trauma to the chest, which can cause a sucking chest wound; flail chest; tension pneumothorax; and ... or a break in the tracheal-bronchial tree Signs of serious chest injuries, ...
Diaphragmatic paradox
Flail chest (or Paradoxical breathing). "paradoxical diaphragm phenomenon, thefreedictionary.com". The American Heritage® ...
Rib fracture
Flail chest is a potentially life-threatening injury and will often require a period of assisted ventilation. Flail chest and ... In those with a flail chest, surgery may improve outcomes. They are a common injury following trauma. This typically results in ... When several ribs are broken in several places a flail chest results. Potential complications include a pneumothorax, pulmonary ... When several ribs are broken in several places a flail chest results. Potential complications include a pneumothorax, pulmonary ...
Advanced trauma life support
Flail chest segment with Pulmonary Contusion and Cardiac Tamponade. Flail chest, tracheal deviation, penetrating injuries and ... Occult blood loss may be into the chest, abdomen, pelvis or from the long bones.[citation needed] During the primary survey a ... In the case of obstruction, pass an endotracheal tube.[citation needed] The chest must be examined by inspection, palpation, ...
Traumatic asphyxia
Asphyxia Crush syndrome Flail chest Tension pneumothorax Traumatic aortic rupture Marx, John (2013). Rosen's Emergency Medicine ... CS1 French-language sources (fr), Articles with short description, Short description is different from Wikidata, Chest trauma, ...
Mazinger Angels
Megaton Hammer: A pair of flails attached to Aphrodite's chest. Snow White Aphrodite / Breast Heart Fire: Aphrodite is modified ... She is painted white and gold and also sports chest plates that rotate to form a heart that fires a powerful beam. Diana A: ... She is now depicted in blue and white, and has the following weapons: Regular Chest Missiles Screw Crasher Missile: Similar to ... Drill Pressure Missile: Venus can fire two giant jet drills from her chest. Fire Tornado: Similar to the Blizzard Smash, but ...
Hypophosphatasia
Defects in the chest, such as flail chest resulting from rib fractures, lead to respiratory compromise and pneumonia. Elevated ...
Bone
When serious, depending on the fractures type and location, complications may include flail chest, compartment syndromes or fat ...
Blunt trauma
... flail chest, cardiac tamponade, and airway obstruction/rupture. The injuries may necessitate a procedure, most commonly the ... Often times, chest wall injuries are seen in conjunction with BCI, which confounds the presence of chest pain experienced by ... The term blunt thoracic trauma, or, more informally, blunt chest injury, encompasses a variety of injuries to the chest. ... Dogrul, Bekir Nihat; Kiliccalan, Ibrahim; Asci, Ekrem Samet; Peker, Selim Can (June 2020). "Blunt trauma related chest wall and ...
Rib cage
When several adjacent ribs incur two or more fractures each, this can result in a flail chest which is a life-threatening ... Abnormalities of the rib cage include pectus excavatum ("sunken chest") and pectus carinatum ("pigeon chest"). A bifid rib is a ... Thoracic cage with spine Anterior surface of sternum and costal cartilages X-ray image of a human chest, with ribs labelled 3D ... Thus, males generally have broad shoulders and expanded chests, allowing them to inhale more air to supply their muscles with ...
Sternal fracture
... flail chest, and vertebral fracture. Sternal fractures may also accompany rib fractures and are high-energy enough injuries to ... X-rays of the chest are taken in people with chest trauma and symptoms of sternal fractures, and these may be followed by CT ... The chest of a driver who is not wearing a seat belt may strike the steering wheel, and the shoulder component of a seatbelt ... The injury can also occur when the chest suddenly flexes, in the absence of an impact. In the case of an injury sustained ...
Pulmonary contusion
... of the flail segment of the chest wall (the flail segment moves in the opposite direction as the chest wall during respiration ... Chest wall injuries include rib fractures and flail chest, in which multiple ribs are broken so that a segment of the ribcage ... Flail chest is usually associated with significant pulmonary contusion, and the contusion, rather than the chest wall injury, ... Soldati G, Testa A, Silva F (2006). "Chest Ultrasonography in Pulmonary Contusion". Chest. 130 (2): 533-538. doi:10.1378/chest. ...
Chest injury
Specific types of injuries include: Injuries to the chest wall Chest wall contusions or hematomas Rib fractures Flail chest ... A chest injury, also known as chest trauma, is any form of physical injury to the chest including the ribs, heart and lungs. ... Chest trauma outcomes depend on the severity of the chest injury as well as associated injuries (such as head or spinal trauma ... Chest injuries account for 25% of all deaths from traumatic injury. Typically chest injuries are caused by blunt mechanisms ...
Outline of emergency medicine
Bite Blunt trauma Bone fracture Burns Chest trauma Child abuse Domestic abuse Facial trauma Flail chest Foreign body Fulminant ... Abdominal pain Altered level of consciousness Back pain Chest pain Coma Confusion Constipation Cyanosis Diarrhea Dizziness ... Chest tube Defibrillation (AED ICD) Electrocardiogram (ECG/EKG) Intraosseous infusion (IO) Intravenous therapy (IV) Tracheal ...
Collapsed lung (disambiguation)
... a British hip-hop band Flail chest, a condition sometimes producing and often confused with pneumothorax This disambiguation ... Collapsed lung or pneumothorax is an accumulation of air in the chest causing the lung to separate from the chest wall. ...
Wilderness medical emergency
Flail chest associated with ice climbing and snowclimbing falls Hyperthermia (heat stroke or sunstroke) Malignant hyperthermia ...
Video-assisted thoracoscopic surgery
... which can lead to complications like a flail chest or intercostal neuralgia. Because of this, thoracic surgeons generally ... The camera and instruments are inserted into the patient's chest cavity through small incisions in the chest wall, usually via ... Minimizing Chest Wall Trauma in Single Port Video-Assisted Thoracic Surgery. J Thorac Cardiovasc Surg 2014;147(3):1095-6 Media ... However, lung deflation on the side of the operated chest is a must to be able to visualize and pass instruments into the ...
Respiratory failure
... or flail chest. Type 3 respiratory failure results from lung atelectasis. Because atelectasis occurs so commonly in the ... including physical obstruction by foreign bodies or masses and reduced breathing due to drugs or changes to the chest. ...
List of wilderness medical emergencies
Flail chest associated with ice climbing and snowclimbing falls Hyperthermia (heat stroke or sunstroke) Malignant hyperthermia ...
List of MeSH codes (C21)
... flail chest MeSH C21.866.891.375 - heart injuries MeSH C21.866.891.733 - rib fractures MeSH C21.866.900.725 - tooth avulsion ...
Incentive spirometer
Sickle Cell Anemia Mild to moderate asthma Traumatic rib fractures with subsequent complications of hemothorax and flail chest ...
Epileptic spasms
... simultaneous raising and bending of the arms while partially drawing the hands together in front of the chest and/or flailing. ...
Donald Trump photo op at St. John's Church
He was red-faced, with his arms flailing about in the air when they weren't folded tightly across his chest. Just as he had ... Brace was clubbed with a police baton and Myers was hit in the chest with the edge of a riot shield and then punched, as they ...
Bronchopulmonary segment
Paradoxical Respiration: during inspiration, the flail (abnormally mobile) segments of ribs are pulled inside the chest wall ... Chest. 9 (4): 319-326. doi:10.1378/chest.9.4.319. Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations ... Diseases of the Chest. 11 (6): 511-564. doi:10.1378/chest.11.6.511. ISSN 0096-0217. PMID 21006145. Ugalde, Paula; Camargo, Jose ...
Crook and flail
Traditionally crossed over the chest when held, they probably represented the ruler as a shepherd whose beneficence is ... Wikimedia Commons has media related to Crook and flail. Sekhem scepter Was scepter Pharaoh-seated, with flail & red crown ( ... The crook and flail (heka and nekhakha) were symbols used in ancient Egyptian society. They were originally the attributes of ... The shepherd's crook stood for kingship and the flail for the fertility of the land. The earliest known example of a crook is ...
Soiscél Molaisse
He holds a book, probably his Gospel, to his chest with one hand and a pastoral staff, a flail or a sprinkler for holy water ...
Thorax
Different types of diseases or conditions that affect the chest include pleurisy, flail chest, atelectasis, and the most common ... Injury to the chest (also referred to as chest trauma, thoracic injury, or thoracic trauma) results in up to 1/4 of all deaths ... The corresponding area in an animal can also be referred to as the chest. The shape of the chest does not correspond to that ... Many diseases may affect the chest, and one of the most common symptoms is chest pain. The word thorax comes from the Greek ...
Nubhetepti-khered
Next to the body were found several royal insignia, such as a flail and a was scepter. The wooden canopic chest was also ... The lower chamber contained the coffin and the canopic chest of the princess. In the upper chamber were placed several burial ... counterpiece from her broad collar flail armlets broad collar Wikimedia Commons has media related to Nubhetepti-khered. Jacques ...
Paris Theodore
When he is shot in the chest, a spot of blood appears and he is thrown backwards, usually with arms flailing, to land ...
Flail chest - Wikipedia
Two of the symptoms of flail chest are chest pain and shortness of breath. The characteristic paradoxical motion of the flail ... Falls account for 14% of flail chest injuries. Flail chest typically occurs when three or more adjacent ribs are fractured in ... The most common causes of flail chest injuries are vehicle collisions, which account for 76% of flail chest injuries. Another ... Bjerke, H Scott (2006-06-16). "Flail Chest". eMedicine. Retrieved 2007-08-01. Gipson CL, Tobias JD (2006). "Flail Chest in a ...
Flail Chest Workup: Laboratory Studies, Imaging Studies
Flail chest is one of the worst subset of these injuries and is likely the most common serious injury to the thorax seen by ... Severe blunt injury to the chest continues to be one of the leading causes of morbidity and mortality in both young and old ... encoded search term (Flail Chest) and Flail Chest What to Read Next on Medscape ... Flail Chest Workup. Updated: Dec 16, 2021 * Author: H Scott Bjerke, MD, FACS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF ...
Surgical fixation vs nonoperative management of flail chest: a meta-analysis
The results of this meta-analysis suggest surgical fixation of flail chest injuries may have substantial critical care benefits ... Surgical fixation vs nonoperative management of flail chest: a meta-analysis J Am Coll Surg. 2013 Feb;216(2):302-11.e1. doi: ... Background: Flail chest is a life-threatening injury typically treated with supportive ventilation and analgesia. Several small ... The purpose of this study was to compare the results of surgical fixation and nonoperative management for flail chest injuries ...
Flail Chest - Trauma - Orthobullets
flail chest - Sinai EM
Flail Chest - Injuries; Poisoning - MSD Manual Professional Edition
Flail Chest - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - Medical Professional ... outward during expiration and inward during inspiration-see figure Flail chest Flail chest ). ... Flail chest is multiple fractures in ≥ 3 adjacent ribs that result in a segment of the chest wall separating from the rest of ... Diagnosis of flail chest is clinical, ideally by observing the paradoxical motion of the flail segment during breathing. ...
Rib Fractures and Flail Chest | The Bone School
Fractured Rib / Flail Chest - Signs and Symptoms - First Aid Learning
Chest Trauma
Flail Chest A flail chest occurs when patients suffer three or more rib fractures in two places. This occurs when a segment of ... Chest x-ray: All chest trauma patients should receive a portable chest radiograph. However, the sensitivity of a chest ... 1 Chest trauma injuries can range from thoracic wall contusion or laceration, to pneumothorax (PTX), flail chest, and cardiac ... Figure 3. A patient with flail chest, subcutaneous emphysema and pulmonary contusions on the right chest x-ray Image by Dr. Ian ...
Emergency Medicine Section 4 - Chest Trauma: Flail Chest & Penetrating Chest Injury - Physeo
Rib and Torso Injury Claims in Arizona
Flail Chest. A Flail Chest injury happens when a cluster of consecutive ribs are fractured. This type of injury can become ... There are a variety of types of rib and torso injuries an auto accident victim can suffer from, including Flail Chest, soft- ... More severe injuries can result in internal organ damage, damage to the brachial plexus and life-threatening Flail Chest ... The fatality rate of rib and torso injury victims who experience Flail Chest is 50 percent. ...
Trauma Scoring Systems: Overview, Applications of Trauma Severity Scoring, Basic Statistical Concepts
Search Results: Chest pain, Dyspnea
Management of polytrauma.pptx
Major life threatening problems: tension pneumothorax, massive hemothorax, flail chest • Circulation: cardiovascular status ... AP chest, and an AP Pelvis view • Our protocol (FMIC): Brain & cervical spine CT Scan, Chest x-ray, pelvic x-ray, dorsal and ... CT Scan of the chest, abdomen and pelvis has supplanted selective CT scants, ultrasounds and peritoneal lavage ...
Did the flail exist?
A military flail is a medieval weapon consisting of a short handle attached to a chain, at the end of which is a metal ball ... 19What is a flail chest injury?. *43Why do babies flail in their sleep? ... What is flail mill?. FLAIL MILLS A third type of shredder which has recently been applied to MSW is the flail mill. The ... Why was a flail made?. Flail Weapon origins. The two-handed flail actually had ancient origins, it started life as an ...
Clinical Management in Thoracic Trauma - WSAVA2006 - VIN
Do we need to pain treatment? Flail chest? Support bandages? Penetrating wounds. Locate heartbeat. ... Further treatment need chest tube placement and permanent gas suction system.. Hemothorax: Massive lesions are rare in dogs and ... Open pneumothorax: There is a free communication trough a chest wall between the pleural space and atmosphere. Can be life ... Treatment involves the repair of the chest defect and place a drainage tube to keep the pleural space with negative pressure. ...
Recovering from a Motorcycle Accident Chest Injury | Zanes Law
If you sustained a chest injury in a motorcycle accident, read on to learn about recovering and how our team can help you ... Flail Chest Injury. A serious chest trauma, a flail chest, results when multiple consecutive ribs are fractured in more than ... For a flail chest, the detached segment is commonly repaired by inserting metal rods between fractured ribs wired or plated to ... The chest is a fragile place as it holds important organs such as your heart and lungs. Here are some of the most common chest ...
Update on Aeromed coordination
Thirst of the Living Dead
Its claws flailed, seared across his chest. Fetid breath stank in his nostrils, and the beasts avid snarls were loud in his ... His flailing fist thudded into soft flesh and he crashed atop the woman-Things down-crashing form. He twisted instantaneously ... A great sob retched from the tight anguish of the fathers chest. How could the child lie sleeping there, so peacefully, in the ... Hard knees ground into his chest, steely fingers were at his throat, were clamping slowly closed. He couldnt breathe. He ...
Positive Health Online | Article - Drawing On the Dao: Less Strain, More Gain
Severo de Paoli - Articles - Scientific Research Publishing
MECHANICAL VENTILATION OF THE TRAUMA PATIENT
Rib fractures, particularly flail chest, can be the source of considerable pain and are often associated with other injuries ... Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury. Crit Care Clin 2004; 20:71. ... Chest trauma. Patients with blunt or penetrating chest trauma may require mechanical ventilation. In patients with lung ... stiff chest wall (e.g., abdominal compartment syndrome, chest wall burns). Ventilator-induced lung injury can also result from ...
No Heroes - ILONA ANDREWS
Terris heart sped up, flailing in her chest. This was bad, really really bad. ... A huge bloody gash crossed his chest. His face was white.. Behind him the horned bear thrust through the bushes. Its head was ... Alice changed the bandage again, but no matter how tightly they wrapped Sergios chest, the red stain kept spreading. Terri bit ...
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Personal Injuries Archives - Page 2 of 4 - Michigan Auto Law
Thieme E-Journals - The Thoracic and Cardiovascular Surgeon / Abstract
The mean ISS was 75 for patients with cranial trauma and flail chest and 55.7 (p = 0.001) for patients with only flail chest. ... Patients with a cranial trauma and flail chest had a higher mortality (19 %) than patients with only flail chest (no mortality ... The patients with flail chest who had bilateral costochondral separation (anterior chest location) (group I, n = 10) had a ... Pulmonary function testing after operative stabilisation of the chest wall for flail chest. Eur J Cardiothorac Surg. 2001; 20 ...
Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure | European Respiratory...
... rib fracture or flail chest) prevent us from making a definitive recommendation. However, given the positive overall results, ... et al. Noninvasive ventilation reduces intubation in chest trauma-related hypoxemia: a randomized clinical trial. Chest 2010; ... in patients with flail chest. Emerg Med J 2005; 22: 325-329. ... Question 8: Should NIV be used in ARF due to chest trauma?. The ... A third study randomised chest trauma patients with any injury and respiratory failure to NIV or high-flow oxygen therapy (,10 ...
How Howard Carter Discovered King Tut's Golden Tomb | History | Smithsonian Magazine
Its arms were folded across its chest, hands clasping a flail and crooked scepter made of gold and a ceramic glaze known as ... One sturdy wooden chest, made up of complicated partitions and drawers, was stuffed with knickknacks and playthings from ... white chests; finely carved chairs; a golden throne; a heap of curious white egg-shaped boxes; stools of all shapes and designs ...
Tension pneumothorax and the "forbidden CXR" | Emergency Medicine Journal
A case is presented of unilateral tension pneumothorax associated with flail chest and pulmonary contusions in a spontaneously ... The tension element was not suspected until chest x ray was available, nor was immediate needle thoracocentesis performed. No ... deciding whether or not tension pneumothorax is the predominant cause of respiratory distress in a patient with multiple chest ...
f13.net forums - Alpha 3 ImpressionsFracturesManagement of flail chestFractureCause of flail chestFixationCrook and fInjuryPneumothoraxVentilationDiagnosisParadoxicalRespiratory failureRibs are fracturedShortnessLungsTraumaticPatientsAdjacent ribsCrepitusMorbidityOperativeKingshipSurgicalStabilizationSymptomsAnteriorModalitiesBluntSignsDeformityPosteriorInjuries to the chestComplicationsOutcomesTensionSevereSoft-tissueSternumTreatmentOccurOxygenTypes of chest injuriesPain
Fractures10
- Axial computed tomography image of the chest in a patient with left posterior rib fractures. (medscape.com)
- Flail Chest is a traumatic chest injury defined as segmental fractures of 3 or more ribs and is often associated with pulmonary injuries such as hemothorax and pneumothorax. (orthobullets.com)
- Rib fractures are very common in motorcycle accidents where the chest strikes another hard object. (zaneslaw.com)
- While a recent meta-analysis concluded that operative fixation of complicated flail chest provided a better outcome [ 8 ], the impact of surgery on pain in case of uncomplicated rib fractures is seldom studied. (biomedcentral.com)
- A flail chest is a severe injury to the chest wall caused by multiple rib fractures and sternal injuries that may occur as a result of high-speed motor vehicle accidents or motorcycle accidents. (lifecare123.com)
- Radiographs can depict bony trauma, and rib fractures are among the most commonly identified injuries to the chest. (medscape.com)
- Multiple fractures can present as flail chest, which is present when paradoxical respiratory movement occurs in a segment of the chest wall. (medscape.com)
- Image depicting multiple fractures of the left upper chest wall. (medscape.com)
- If multiple rib fractures occur along the midlateral (red arrows) or anterior chest wall (blue arrows), a flail chest (dotted black lines) may result. (medscape.com)
- Frontal view chest radiograph ( Fig. 120B ) demonstrates osteopenia and gracile ribs with multiple healing fractures. (radiologykey.com)
Management of flail chest5
- Laboratory studies are helpful in the management of flail chest and its associated physiologic abnormalities, but no single test confirms the diagnosis of the condition. (medscape.com)
- Ahmed Z, Mohyuddin Z. Management of flail chest injury: internal fixation versus endotracheal intubation and ventilation. (medscape.com)
- The management of flail chest injury: factors affecting outcome. (medscape.com)
- A systematic review of previously published comparative studies using operative and nonoperative management of flail chest was performed. (nih.gov)
- 7 Pettiford B L, Luketich J D, Landreneau R J. The management of flail chest. (thieme-connect.com)
Fracture8
- The constant motion of the ribs in the flail segment at the site of the fracture is extremely painful, and, untreated, the sharp broken edges of the ribs are likely to eventually puncture the pleural sac and lung, possibly causing a pneumothorax. (wikipedia.org)
- Chest x-rays occasionally demonstrate the fractured ribs, but may not show all fracture sites, and underlying pulmonary contusion may be initially masked by hypovolemia. (medscape.com)
- The flail chest diagnosis is a clinical observation that is supported by the radiologic identification of the fracture pattern. (medscape.com)
- If multiple (3 or more) adjacent ribs fracture in ≥ 2 places, the breaks in each rib result in a segment of chest wall that is not mechanically connected to the rest of the thoracic cage (flail segment). (msdmanuals.com)
- It is not uncommon for multiple ribs on one or both sides of the chest to fracture simultaneously. (zaneslaw.com)
- When ribs fracture, or the chest wall is severely bruised, it allows air to leak into where it does not belong. (zaneslaw.com)
- Though not common in motorcycle accidents, direct trauma to the chest severe enough to fracture the sternum or spine occasionally leads to injuries to the heart itself. (zaneslaw.com)
- I broke 6 vertebra, flail chest fracture (each rib broke in 2 places), broken scapula & punctured lung (later lung collapsed with empyema needed emergency chest drain). (edinburghbicycle.com)
Cause of flail chest1
- Another main cause of flail chest injuries is falling. (wikipedia.org)
Fixation3
- The purpose of this study was to compare the results of surgical fixation and nonoperative management for flail chest injuries. (nih.gov)
- Surgical rib fixation vs. conservative treatment of polytrauma patients with flail chest. (myorthoevidence.com)
- 53 polytraumatic patients were randomized to receive surgical rib fixation or conservative treatment for the treatment of flail chest. (myorthoevidence.com)
Crook and f3
- Why does Osiris hold a crook and flail? (moviecultists.com)
- The crook and flail are among the most famous symbols from ancient Egypt symbolizing the power and majesty of the king . (moviecultists.com)
- The cobra and vulture protected his forehead, and his golden hands grasped the crook and flail, important symbols of kingship, against his chest. (arce.org)
Injury27
- Landercasper J, Cogbill TH, Lindesmith LA. Long-term disability after flail chest injury. (medscape.com)
- Borman JB, Aharonson-Daniel L, Savitsky B, Peleg K. Unilateral flail chest is seldom a lethal injury. (medscape.com)
- Beal SL, Oreskovich MR. Long-term disability associated with flail chest injury. (medscape.com)
- Flail chest is a life-threatening injury typically treated with supportive ventilation and analgesia. (nih.gov)
- Pulmonary contusion is a common and potentially lethal chest injury. (msdmanuals.com)
- Each year, more than two million car crashes across the country involve some form of blunt chest trauma that typically results in a rib or torso injury. (phillipslaw.com)
- A Flail Chest injury happens when a cluster of consecutive ribs are fractured. (phillipslaw.com)
- The fatality rate of rib and torso injury victims who experience Flail Chest is 50 percent. (phillipslaw.com)
- Can You Recover from a Motorcycle Accident Chest Injury? (zaneslaw.com)
- Yes, it's possible to recover from a chest injury you sustained in a motorcycle accident. (zaneslaw.com)
- Read on to learn more about the recovery process after you suffer a chest injury. (zaneslaw.com)
- Mechanical ventilation of the trauma patient can be complicated by chest trauma, burns, inhalation injury, and head trauma. (medicosecuador.com)
- In 1994, a consensus definition was recommended for ARDS: acute onset of respiratory failure, bilateral infiltrates on chest radiograph, pulmonary artery wedge pressure less than or equal to 18 mm Hg, or the absence of clinical evidence of left atrial hypertension, PaO 2 /FIO 2 less than or equal to 300 (acute lung injury) or PaO 2 /FIO 2 less than or equal to 200 (ARDS). (medicosecuador.com)
- Flail chest is most often accompanied by significant underlying pulmonary parenchymal injuries and may constitute a life-threatening thoracic injury. (thieme-connect.com)
- Location of the trauma in the chest wall, mechanical ventilation support, prognosis and injury severity score (ISS) were recorded for all patients. (thieme-connect.com)
- Advanced age was a major risk factor for flail chest trauma mortality, together with the severity of the injury. (thieme-connect.com)
- Chest injury due to blunt trauma. (thieme-connect.com)
- 8 Tanaka H, Tajimi K, Endoh Y, Kobayashi K. Pneumatic stabilization for flail chest injury: an 11-year study. (thieme-connect.com)
- 12 Borman J B, Aharonson-Daniel L, Savitsky B, Peleg K. Unilateral flail chest is seldom a lethal injury. (thieme-connect.com)
- If you were recently in an accident and believe you may have suffered a chest injury, the legal team at Roman Austin Personal Injury Lawyers is here to help. (romanaustin.com)
- If you were injured in any of these types of accidents and suffered a chest injury, an experienced lawyer can help you evaluate your legal options. (romanaustin.com)
- Roman Austin Personal Injury Lawyers handles all types of chest injury claims. (romanaustin.com)
- It can sometimes take hours or days for some of these chest injury symptoms to arise. (romanaustin.com)
- What Compensation Could I Recover for My Chest Injury in Clearwater, Florida? (romanaustin.com)
- What Is My Chest Injury Claim Worth? (romanaustin.com)
- Generally, the more severe your chest injury, the more valuable your case will be. (romanaustin.com)
- The chest trauma that results from a motor vehicle accident may result in injury to the sternum, the ribs, and the heart, aorta, and lungs. (medscape.com)
Pneumothorax3
- A pneumothorax refers to a collapse of the lung when air enters the space between the lung and the chest wall. (zaneslaw.com)
- A case is presented of unilateral tension pneumothorax associated with flail chest and pulmonary contusions in a spontaneously ventilating patient after a fall. (bmj.com)
- This case highlights the difficulty in deciding whether or not tension pneumothorax is the predominant cause of respiratory distress in a patient with multiple chest injuries. (bmj.com)
Ventilation7
- The respiratory failure from the flail chest requires mechanical ventilation and a longer stay in an intensive care unit. (wikipedia.org)
- In addition, the paradoxical motion of flail chest increases the work of breathing, and chest wall pain tends to limit deep inspiration and thus maximal ventilation. (msdmanuals.com)
- Early intubation and mechanical ventilation is of paramount importance in patients with flail chest. (thieme-connect.com)
- Bilateral costochondral separation also increased the risk of morbidity and the need for mechanical ventilation in patients with flail chest. (thieme-connect.com)
- Benefits of rib osteosynthesis are well documented in patients with flail chest that necessitates invasive ventilation. (biomedcentral.com)
- When inspiratory impedance is added to the ventilation circuit, it enhances the negative pressure (vacuum) in the chest, which pulls more blood back to the heart, resulting in increased preload and thus, enhanced cardiac output on the subsequent cardiac contraction. (roaddoc.com)
- An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline: Liberation from Mechanical Ventilation in Critically Ill Adults. (bvsalud.org)
Diagnosis4
- Diagnosis is made with radiographs of the chest. (orthobullets.com)
- Diagnosis of flail chest is clinical, ideally by observing the paradoxical motion of the flail segment during breathing. (msdmanuals.com)
- Discuss the eventual disposition of chest trauma patients based on their diagnosis. (saem.org)
- Proper diagnosis involves chest X-rays to identify the specific ribs injured and guide treatment. (zaneslaw.com)
Paradoxical4
- The characteristic paradoxical motion of the flail segment occurs due to pressure changes associated with respiration that the rib cage normally resists: During normal inspiration, the diaphragm contracts and intercostal muscles pull the rib cage out. (wikipedia.org)
- therefore, an absence of paradoxical motion does not mean the patient does not have a flail segment. (wikipedia.org)
- This is due to the paradoxical motions of the chest wall from the fragments interrupting normal breathing and chest movement. (wikipedia.org)
- The paradoxical motion does not occur if the patient is mechanically ventilated, but the flail segment may be identified by its more extreme outward movement during lung inflation. (msdmanuals.com)
Respiratory failure2
- Pulmonary contusions are commonly associated with flail chest and that can lead to respiratory failure. (wikipedia.org)
- The specific conditions where recommendations were made include exacerbation of chronic obstructive pulmonary disease, cardiogenic pulmonary oedema, de novo hypoxaemic respiratory failure, immunocompromised patients, chest trauma, palliation, post-operative care, weaning and post-extubation. (ersjournals.com)
Ribs are fractured4
- Flail chest typically occurs when three or more adjacent ribs are fractured in two or more places, allowing that segment of the thoracic wall to displace and move independently of the rest of the chest wall. (wikipedia.org)
- Flail chest can also occur when ribs are fractured proximally in conjunction with disarticulation of costal cartilages distally. (wikipedia.org)
- When several consecutive ribs are fractured, part of the chest wall becomes separated from the rest of the chest wall, causing it to float freely in the body. (phillipslaw.com)
- A serious chest trauma, a flail chest, results when multiple consecutive ribs are fractured in more than one place, detaching a segment of the chest wall. (zaneslaw.com)
Shortness4
- Two of the symptoms of flail chest are chest pain and shortness of breath. (wikipedia.org)
- A 21-year-old male presents to the ED by ambulance with complaints of chest pain and shortness of breath that began after he was involved in an altercation outside of a gas station. (saem.org)
- This blocks the lung from fully inflating, causing shortness of breath and chest pain that increases with breathing efforts. (zaneslaw.com)
- Symptoms include sharp chest pain, coughing up blood or pink frothy sputum, and worsening shortness of breath. (zaneslaw.com)
Lungs4
- The flail segment moves in the opposite direction to the rest of the chest wall: because of the ambient pressure in comparison to the pressure inside the lungs, it goes in while the rest of the chest is moving out, and vice versa. (wikipedia.org)
- It is the damage to the lungs from the flail segment that is life-threatening. (wikipedia.org)
- Laterality of air volume in the lungs long after blunt chest trauma. (medscape.com)
- The chest is a fragile place as it holds important organs such as your heart and lungs. (zaneslaw.com)
Traumatic3
- Age-adjusted outcomes in traumatic flail chest injuries in the elderly. (medscape.com)
- Unstable chest trauma patients can also deteriorate to the point of traumatic arrest and depending on the mechanism of chest trauma, may be candidates for an emergent ED thoracotomy. (saem.org)
- There is considerable overlap amongst the various traumatic disorders experienced in both penetrating and blunt chest trauma. (saem.org)
Patients15
- Humidified oxygen is given to patients with flail chest. (msdmanuals.com)
- Diagnose, resuscitate, stabilize and manage chest trauma patients. (saem.org)
- Identify common pathophysiologic conditions occurring in chest trauma patients. (saem.org)
- Chest trauma accounts for approximately 25% of mortality in trauma patients.1,2 This rate is much higher in patients with polytraumatic injuries. (saem.org)
- 85-90% of chest trauma patients can be rapidly stabilized and resuscitated by a handful of critical procedures. (saem.org)
- In patients who are awake and lucid, the chest trauma may present with chest pain, dyspnea, back or abdominal pain, and occasionally syncope. (saem.org)
- Unstable chest trauma patients may show signs of severe respiratory distress or profound shock requiring emergent resuscitation. (saem.org)
- However, in comparison to penetrating trauma, blunt chest trauma patients may have a more subtle presentation with less obvious physical exam findings. (saem.org)
- Chest trauma patients can present to the ED via Emergency Medical Services (EMS), often placed on a backboard and in a cervical collar. (saem.org)
- This becomes an important consideration in patients with a stiff chest wall (e.g., abdominal compartment syndrome, chest wall burns). (medicosecuador.com)
- Between 2003 and 2008, 23 patients (20 males/3 females) were treated for flail chest. (thieme-connect.com)
- Patients with a cranial trauma and flail chest had a higher mortality (19 %) than patients with only flail chest (no mortality). (thieme-connect.com)
- The mean ISS was 75 for patients with cranial trauma and flail chest and 55.7 ( p = 0.001) for patients with only flail chest. (thieme-connect.com)
- Learners will care for ICU patients with airway, cardiac, circulation, neurological, urinary issues as well as identify and treat trauma such as flailed chest, bleeding, and shock. (stockton.edu)
- Radiography of the chest should be a routine part of autopsies of patients who die of injuries that result from traffic accidents. (medscape.com)
Adjacent ribs1
- It occurs when multiple adjacent ribs are broken in multiple places, separating a segment, so a part of the chest wall moves independently. (wikipedia.org)
Crepitus2
- Palpation can often detect crepitus of the flail segment and confirm abnormal chest wall motion. (msdmanuals.com)
- Palpation of crepitus over the chest wall may also be appreciated. (saem.org)
Morbidity3
- Factors affecting morbidity and mortality in flail chest: comparison of anterior and lateral location. (medscape.com)
- In this study we evaluated the treatment modalities for flail chest depending on the effect of trauma localization on mortality and morbidity. (thieme-connect.com)
- When cranial trauma was accompanied by flail chest, mortality and morbidity rates increased. (thieme-connect.com)
Operative2
- Pulmonary function testing after operative stabilisation of the chest wall for flail chest. (thieme-connect.com)
- 11 Lardinois D, Krueger T, Dusmet M, Ghisletta N, Gugger M, Ris H B. Pulmonary function testing after operative stabilisation of the chest wall for flail chest. (thieme-connect.com)
Kingship1
- The shepherd's crook stood for kingship and the flail for the fertility of the land . (moviecultists.com)
Surgical3
- Appreciate the necessity for emergent surgical intervention in certain chest trauma conditions. (saem.org)
- Study results revealed surgical treatment of flail chest to result in less time on mechanica. (myorthoevidence.com)
- Understanding chest wall anatomy is paramount to any surgical procedure regarding the chest and is vital to any reconstructive intervention. (medscape.com)
Stabilization1
- The condition requires prompt emergency stabilization, pain management, and possibly a ventilator to assist breathing until the chest heals properly. (zaneslaw.com)
Symptoms1
- What Are the Signs and Symptoms of Chest Injuries? (romanaustin.com)
Anterior2
- There is a large puncture wound to the right, upper anterior chest. (saem.org)
- The central anterior chest is defined by the sternum, which consists of 3 separate bones of the manubrium, sternal body, and xiphoid process. (medscape.com)
Modalities1
- List commonly utilized imaging modalities in chest trauma. (saem.org)
Blunt5
- In children, the majority of flail chest injuries result from common blunt force traumas or metabolic bone diseases, including a group of genetic disorders known as osteogenesis imperfecta. (wikipedia.org)
- About 10 percent of victims of blunt force trauma to the chest experience, at the very least, one fractured rib. (phillipslaw.com)
- 5 Pape H C, Remmers D, Rice J, Ebisch M, Krettek C, Tscherne H. Appraisal of early evaluation of blunt chest trauma: development of a standardized scoring system for initial clinical decision making. (thieme-connect.com)
- Chest injuries can be caused by blunt force or penetrating trauma to the chest. (romanaustin.com)
- Blunt force trauma refers to external force applied to the chest while penetrating injuries are those that break through the chest wall, such as from a bullet or knife. (romanaustin.com)
Signs1
- In honor of the god Osiris, the kings (pharaohs) of Egypt carried a crook and a flail, the signs of Osiris. (moviecultists.com)
Deformity1
- Additional benefits included decreased ICU days (mean 5 days, 95% CI 2 to 8 days), mortality (OR 0.31, 95% CI 0.20 to 0.48), septicemia (OR 0.36, 95% CI 0.19 to 0.71), tracheostomy (OR 0.06, 95% CI 0.02 to 0.20), and chest deformity (OR 0.11, 95% CI 0.02 to 0.60). (nih.gov)
Posterior1
- Posterior flail segments are easier to manage clinically because of the presence of strong muscular and scapular support and because of a patient's natural tendency to lie with his or her back against the mattress. (medscape.com)
Injuries to the chest2
- This refers to injuries to the chest wall and any structure within. (lifecare123.com)
- Approximately 35% of all trauma-related deaths in the United States are caused by injuries to the chest. (romanaustin.com)
Complications1
- As with all major chest injuries, prevention of lung complications like pneumonia is also a priority. (zaneslaw.com)
Outcomes1
- Dehghan N, de Mestral C, McKee MD, Schemitsch EH, Nathens A. Flail chest injuries: a review of outcomes and treatment practices from the National Trauma Data Bank. (medscape.com)
Tension1
- The tension element was not suspected until chest x ray was available, nor was immediate needle thoracocentesis performed. (bmj.com)
Severe1
- More severe injuries can result in internal organ damage, damage to the brachial plexus and life-threatening Flail Chest injuries, for example, which require more extensive and costly medical treatment. (phillipslaw.com)
Soft-tissue1
- There are a variety of types of rib and torso injuries an auto accident victim can suffer from, including Flail Chest, soft-tissue rib injuries and broken or fractured ribs. (phillipslaw.com)
Sternum1
- For a flail chest, the detached segment is commonly repaired by inserting metal rods between fractured ribs wired or plated to the sternum or vertebrae. (zaneslaw.com)
Treatment1
- Treatment of the flail chest initially follows the principles of advanced trauma life support. (wikipedia.org)
Occur1
- Rollover and crushing injuries most commonly break ribs at only one point, whereas for flail chest to occur a significant impact is required, breaking the ribs in two or more places. (wikipedia.org)
Oxygen1
- Immediate medical evaluation is essential so a chest tube can be inserted to re-expand the lung and prevent prolonged oxygen deprivation. (zaneslaw.com)
Types of chest injuries1
- There are various types of chest injuries. (romanaustin.com)
Pain1
- Broken ribs often cause sharp, localized pain that worsens with breathing, coughing, sneezing, or any movement of the chest. (zaneslaw.com)
