Emergency Medicine Test Prep

Category - Chest Trauma

A 30 year old man in road traffic accident received multiple injuries on the chest. Which of the following are most flail chest injuries found?
  1. Falling
  2. Blunt force trauma
  3. Vehicle collisions
  4. Rollover and crushing injurie
Explanation
Answer: C - Vehicle collisions are the most common reason for flail chest injuries, which account for 76% of flail chest injuries. While falling is the 2nd most common reason for flail chest injury in elderly. Rollover and crushing injuries most commonly break ribs at only one point and for flail chest to occur a significant impact is required to break the ribs in two or more places. In children, the majority of flail chest injuries can be a result of the common blunt force traumas but it is very rare.
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