are Common found in 21 of blunt chest injury patients From lowlevel trauma in the elderly Dangerous 13 of rib fracture patients suffer pulmonary complications pneumonia ARDS PE pneumothorax etc ID: 1042915
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1. BACKGROUND: Rib Fractures are:Common: found in 21% of blunt chest injury patientsFrom low-level trauma in the elderlyDangerous: 13% of rib fracture patients suffer pulmonary complications (pneumonia, ARDS, PE, pneumothorax, etc.)High mortality in severe chest trauma, but also in elderly or comorbid patientsAnalgesia and ventilatory support reduce complications and mortalityChest Injury Protocols (ChIPs) introduced in Australia have been found to reduce the incidence of pneumonia and deathGriffith Base Hospital119 Bed regional hospitalEmergency departmentGeneral surgical department1 regular specialist anaesthetist, multiple GP anaesthetistsLimited regional anaesthesia capacitySmall ICU staffed by general physiciansChallengesLimited capacity for regional anaesthesiaSmall ICU with limited 24-hour careNo orthopaedic surgery care availableGRIFFITH BASE HOSPITAL CHEST INJURY AUDIT 2020-2021Review of emergency representations over 12 months following rib fracture diagnosis:12 patients found to representAverage age 62.7575% maleAverage no. rib fractures: 2.664 patients had background of lung diseaseALL patients represented with chest pain as chief complaint0 patients received adequate rib fracture pain management2 patients represented with pneumoniaPain Management of the 12 patients upon initial presentation:Regular Paracetamol: 10Regular NSAID: 3Regular Opioid 6Breakthrough Analgesia: 6Aperients: 3Physiotherapy: 2 (out of 3 admitted patients)PRESENTER: Thomas WarburtonSetting up a Chest Injury Protocol in a Regional HospitalChest injury Audit and ProtocolThomas M WarburtonEastern and Greater Southern Surgical Skills Training NetworkSenior Resident Medical OfficerGriffith Base Hospital Chest Injury Protocol