Podcast 639: Rib Fractures in the Elderly


Manage episode 284533108 series 1397179
By medicalminute and Emergency Medical Minute. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Retrospective review of 5,021 patients over 65 with 2 or more rib fractures recently published
  • 3577 (78 %) were admitted to non-ICU setting
  • 1.1% of these patients had unexpected intubation or ICU transfer
  • Findings raise questions regarding current guidelines for ICU admission in elderly patients with isolated rib fractures


Naar L, El Hechi MW, van Erp IA, Mashbari HNA, Fawley J, Parks JJ, Fagenholz PJ, King DR, Mendoza AE, Velmahos GC, Kaafarani HMA, Saillant NN. Isolated rib cage fractures in the elderly: Do all patients belong to the intensive care unit? A retrospective nationwide analysis. J Trauma Acute Care Surg. 2020 Dec;89(6):1039-1045. doi: 10.1097/TA.0000000000002891. PMID: 32697447.

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD

781 episodes