Management in the ED follows ATLS guidelines and resuscitation. These injuries are frequently associated with other injuries, such as hemothorax, pneumothorax, and flail chest. The mainstay of treatment in isolated, nondisplaced fractures is primarily supportive with appropriate analgesia. Displaced fractures may require operative management. Similar to the management of rib fractures, deep breathing and incentive spirometry are recommended to avoid pulmonary complications [1,2].
- Pearl: Look for blunt cardiac injury in these patients. Cardiac biomarkers, an ECG, and telemonitoring should be performed in patients presenting with this injury .