Flail Chest Breathing on Physical Exam 74 year-old male, fallen over in the garden. Four rib fractures. The video shows a flail chest, initially missed by non-trauma team. 1. Mortality increases proportionally with each additional rib fracture 2. 90% of patients with multiple rib fractures have additional traumatic injuries 3. 50% of rib fractures missed by CXR, so use CT to identify also pulmonary contusion Dr. Roberto Cosentini @rob_cosentini #Flail #Chest #Breathing #PhysicalExam #clinical #video #trauma #pulmonary
