Multiple rib fractures

Case contributed by Andrew Murphy

Presentation

Motor bike accident

Patient Data

Age: 25 years
Gender: Male
x-ray

Endotracheal tube tip is sitting at the thoracic inlet, right sided intercostal drain's tip is against the mediastinum there is also bilateral chest cannulas in situ.

Right sided hemothorax with diffuse airspace opacification throughout. The mediastinum is shifted to the left, bilateral clavicle fractures and multiple rib fractures, most likely with large flail segments. Bilateral subcutaneous emphysema.

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