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Flail chest or segment occurs when three or more contiguous ribs are fractured in two or more places. Clinically, a segment of only one or two ribs can act as a flail segment, hence there is some controversy between the clinical and radiological definitions. Clinically, this is observed in a non-ventilated patient as paradoxical movement of the flail segment. It can often be clinically occult.

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Flail Chest: Paradoxical Breathing. Monitor vital signs for shock, administer pain meds at reg intervals, encourage client to turn, cough & deep breathe, monitor ABGs

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post-it-note-medicine: ATOMIC - an acronym for remembering the six causes of breathing problems that should be noted on the primary survey in a trauma patient. A. airway obstructionT. tension pneumothoraxO. open pneumothoraxM. massive haemothoraxI. intercostal disruption - i.e. flail chest where a set of ribs have detached and are floating free in the chest. An indicator of severe chest trauma. C. cardiac tamponade The fluffy things in the collapsed lung are clouds. It’s meant to signify…

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