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Podcast 639: Rib Fractures in the Elderly

Emergency Medical Minute

Release Date: 02/09/2021

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Emergency Medical Minute

Contributor:  Aaron Lessen, MD Educational Pearls: Study in NEJM looked at occult hypoxemia, when oxygen saturation reads at >92% when the actual saturation is <88% Rate of occult hypoxemia was 3 times higher in those who identified as black (12% vs 4%) Keep this disparity in mind when providing care to patients of all backgrounds and incorporate into clinical decision-making References Sjoding MW, Dickson RP, Iwashyna TJ, Gay SE, Valley TS. Racial Bias in Pulse Oximetry Measurement. N Engl J Med. 2020;383(25):2477-2478. doi:10.1056/NEJMc2029240 Summarized by John Spartz, MS3 |...

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Emergency Medical Minute

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Emergency Medical Minute

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Emergency Medical Minute

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Emergency Medical Minute

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Emergency Medical Minute

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Emergency Medical Minute

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Emergency Medical Minute

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Emergency Medical Minute

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Emergency Medical Minute

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More Episodes

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Retrospective review of 5,021 patients over 65 with 2 or more  rib fractures recently published
  • 3577 (78 %) were admitted to non-ICU setting
  • 1.1% of these patients had unexpected intubation or ICU transfer
  • Findings raise questions regarding current guidelines for ICU admission in elderly patients with isolated rib fractures

References

Naar L, El Hechi MW, van Erp IA, Mashbari HNA, Fawley J, Parks JJ, Fagenholz PJ, King DR, Mendoza AE, Velmahos GC, Kaafarani HMA, Saillant NN. Isolated rib cage fractures in the elderly: Do all patients belong to the intensive care unit? A retrospective nationwide analysis. J Trauma Acute Care Surg. 2020 Dec;89(6):1039-1045. doi: 10.1097/TA.0000000000002891. PMID: 32697447.

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD