Western Trauma Association Critical Decisions in Trauma: Management of rib fractures : Journal of Trauma and Acute Care Surgery

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Western Trauma Association Critical Decisions in Trauma

Management of rib fractures

Brasel, Karen J. MD, MPH; Moore, Ernest E. MD; Albrecht, Roxie A. MD; deMoya, Marc MD; Schreiber, Martin MD; Karmy-Jones, Riyad MD; Rowell, Susan MD; Namias, Nicholas MD; Cohen, Mitchell MD; Shatz, David V. MD; Biffl, Walter L. MD

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Journal of Trauma and Acute Care Surgery 82(1):p 200-203, January 2017. | DOI: 10.1097/TA.0000000000001301


This is a recommended management algorithm from the Western Trauma Association addressing the management of adult patients with rib fractures. Because there is a paucity of published prospective randomized clinical trials that have generated Class I data, these recommendations are based primarily on published observational studies and expert opinion of Western Trauma Association members. The algorithm and accompanying comments represent a safe and sensible approach that can be followed at most trauma centers. We recognize that there will be patient, personnel, institutional, and situational factors that may warrant or require deviation from the recommended algorithm. We encourage institutions to use this as a guideline to develop their own local protocols.

© 2017 Lippincott Williams & Wilkins, Inc.

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