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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Flail Chest-I01:24

Flail Chest-I

295
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

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Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
4.6K
Fractures: Bone Repair01:27

Fractures: Bone Repair

3.7K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.7K
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

48
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Related Experiment Video

Updated: Sep 18, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

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Impact of Trauma Team Census on Patients With Rib Fractures.

Anthony J Duncan1, David R Velez1, Khaled Zreik2

  • 1Department of Surgery, University of North Dakota School of Medicine and Health Sciences, Grand Forks, USA.

Cureus
|June 20, 2025
PubMed
Summary

High trauma team census days correlate with lower ICU admissions but increased delirium risk for patients with rib fractures. This highlights potential under-triage and the need for better resource management during peak patient volumes.

Keywords:
acute deliriumintensive care unit (icu)resident workloadrib fracturestrauma centers

More Related Videos

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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596
Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Pseudofracture: An Acute Peripheral Tissue Trauma Model
10:08

Pseudofracture: An Acute Peripheral Tissue Trauma Model

Published on: April 18, 2011

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Area of Science:

  • Trauma Surgery
  • Healthcare Management
  • Patient Outcomes

Background:

  • Increasing healthcare professional workloads impact patient care.
  • Trauma teams are particularly susceptible to fluctuating patient census.
  • High workload may lead to increased length of stay, costs, and safety events.

Purpose of the Study:

  • To evaluate the impact of high versus low trauma team census on patient outcomes.
  • To analyze the relationship between trauma team workload and patient disposition.
  • To identify potential disparities in care during periods of high patient volume.

Main Methods:

  • Retrospective review of 1,291 rib fracture patients (2017-2022) at a Level I trauma center.
  • Classification of admission days as high or low census based on average daily census.
  • Bivariate and multivariate regression analyses to assess outcomes.

Main Results:

  • No significant differences in demographics or comorbidities between high and low census groups.
  • Similar surgical fixation rates and time to surgery.
  • High census admissions showed lower ICU admission rates (OR: 0.78) and increased delirium risk (OR: 3.21).

Conclusions:

  • Patients admitted on high census days had fewer ICU admissions but higher rates of delirium.
  • Findings suggest potential under-triage during high-volume periods.
  • Improved resource allocation strategies are needed for high census periods.