Abstract: Multiple rib fractures in trauma patients are associated with significant morbidity and mortality. Delayed morbidity for patients with rib fractures is often a result of hypoventilation leading to atelectasis, pneumonia and respiratory failure. Pain management was first recognized as an important factor in preventing complications in these patients. Later, management of the respiratory system became more widely recognized as a major factor in, patients' care. It is now known that patients with multiple rib fractures benefit most from adequate pain control, rapid mobilization, and meticulous respiratory care to prevent complications. A rib fracture score and protocol based on a synthesis of the existing literature is developed. The protocol is directed to decisions about rapid mobilization, respiratory support, and pain management interventions to decrease the length of patients' stay in intensive care units.

Abstract: Multiple rib fractures in trauma patients are associated with significant morbidity and mortality. Delayed morbidity for patients with rib fractures is often a result of hypoventilation leading to atelectasis, pneumonia and respiratory failure. Pain management was first recognized as an important factor in preventing complications in these patients. Later, management of the respiratory system became more widely recognized as a major factor in, patients' care. It is now known that patients with multiple rib fractures benefit most from adequate pain control, rapid mobilization, and meticulous respiratory care to prevent complications. A rib fracture score and protocol based on a synthesis of the existing literature is developed. The protocol is directed to decisions about rapid mobilization, respiratory support, and pain management interventions to decrease the length of patients' stay in intensive care units.