Episode 63 – Rib Fracture- An Interview with Dr. Patrick Maher

EMplify - November 2021

Announcements:

• The EB Medicine app is live and available for free in the Apple Store. Coming to Google Play soon. It is in Beta and your feedback is welcome. ,
• Also, this month use code ACEP21! and get 20% of all orders at https://www.ebmedicine.net

Emergency Department Management of Rib Fractures

Author: Patrick Maher, MD

Episode Outline:

• Why rib fractures?
• Anatomy
• Fig 1
• Pre-hospital
• ED evaluation
• History 
• Physical Exam
• Imaging
• Nexus Chest Decision Instrument in Blunt Trauma
• ACR criteria for imaging
• CT vs xray
• Ultrasound 
• Treatment
• Meds
• Binders
• Kinesiotaping - Fig 4
• Respiratory support
• Operative fixation
• Special Populations
• Elderly
• Cancer patients
• Pediatrics
• Disposition
• Battle Score
• Rib Score
• FVC