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First rib fracture treatment should focus on other injuries

Management of patients with fractures of the first rib should focus on identifying and treating associated life-threatening injuries, says a study in Emergency Medicine Journal.

Management of patients with fractures of the first rib should focus on identifying and treating associated life-threatening injuries, says a study in Emergency Medicine Journal

There is an association between significant head, cervical spine, chest, liver and pelvic injuries and first rib fractures and they are a marker of polytrauma and severe injury when compared with patients with other rib fractures, it says.

Such fractures are only associated with increased mortality in patients with polytrauma and have no independent impact on mortality, says the study, which investigated patients sustaining rib fractures between January 2012 and December 2013 using data from the UK Trauma Audit and Research Network.

The study covered 1,683 patients with first rib fractures and 8,369 with fractures of other ribs. Life-threatening intrathoracic and extrathoracic injuries were found to be more likely in patients with first rib

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