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

Take a deeper dive into our peer-reviewed emergency medicine content with the EMplify podcast. Join hosts Sam Ashoo, MD and T.R. Eckler, MD for educational, conversational reviews of current evidence guaranteed to help you make your best clinical decisions. Each high-yield episode gives you practical, time-tested guidance from practicing emergency medicine clinicians and subject-matter experts. Listen and learn!

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

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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 

Last Updated on January 25, 2023