Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

528
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:
528
Fractures: Bone Repair01:27

Fractures: Bone Repair

5.1K
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...
5.1K
Flail Chest-I01:24

Flail Chest-I

612
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...
612
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

268
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
268
Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

529
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
529
Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

225
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
225

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Loss of Independence and Mortality in Geriatric Emergency General Surgery by Procedural Risk Level.

JAMA surgery·2025
Same author

Evidence-based, cost-effective management of small bowel obstruction: An algorithm of the Journal of Trauma and Acute Care Surgery emergency general surgery algorithms work group.

The journal of trauma and acute care surgery·2025
Same author

Evidence-based, cost-effective management of large bowel obstruction: An algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms Work Group.

The journal of trauma and acute care surgery·2025
Same author

Patient Navigator in Trauma Survivor Follow-Up.

JAMA surgery·2025
Same author

Evidence-based, cost-effective management of acute mesenteric ischemia: An algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms working group.

The journal of trauma and acute care surgery·2025
Same author

Hospital-based violence intervention programs may positively influence mental health outcomes.

The journal of trauma and acute care surgery·2025

Related Experiment Video

Updated: Jan 15, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

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

Published on: November 8, 2024

1.1K

Rib Fracture Injury Guidelines for Patients Over the Age of 65: Should These Patients Routinely Be Admitted to the

Adam C Fields1, Manuel Castillo-Angeles1, Matthew R Bryan2

  • 1Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

The Journal of Surgical Research
|October 14, 2025
PubMed
Summary

Older adults with rib fractures need better admission guidelines. Frailty, multiple fractures, chest tubes, and nerve blocks predict worse outcomes, suggesting ICU admission may be beneficial for some.

Keywords:
Geriatric traumaGuidelinesRib fracturesRib injury

More Related Videos

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
04:00

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles

Published on: July 26, 2024

1.2K

Related Experiment Videos

Last Updated: Jan 15, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

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

Published on: November 8, 2024

1.1K
Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
04:00

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles

Published on: July 26, 2024

1.2K

Area of Science:

  • Trauma Surgery
  • Geriatric Trauma
  • Critical Care Medicine

Background:

  • Current guidelines lack data for admitting older adults (65+) with multiple rib fractures.
  • This study addresses the need for improved admission triage for geriatric rib fracture patients.

Purpose of the Study:

  • Identify factors predicting negative outcomes in older adults with rib fractures.
  • Develop a novel admission triage algorithm for this patient group.

Main Methods:

  • Retrospective analysis of 495 patients (≥65 years) with ≥3 rib fractures (2016-2023).
  • Collected data on demographics, comorbidities, and injury characteristics.
  • Primary outcome: composite of mortality, pneumonia, and ICU readmission.

Main Results:

  • Frailty (OR 11.82), ≥5 rib fractures (OR 2.64), chest tube (OR 3.31), and nerve block (OR 4.66) predicted worse outcomes.
  • 340 patients admitted to ICU, 155 to the floor.

Conclusions:

  • Older adults (≥65) with blunt thoracic trauma, frailty, and ≥5 fractures may benefit from ICU admission.
  • A new admission triage algorithm is proposed for validation.