Module 4: Thoracic Injuries
Segment 2: Thoracic Cage Injuries
References labeled PEDS contain a pediatric element or primary focus.
Topic: General thoracic cage/chest wall injuries
- Baker E, Battle C. What is the optimal care pathway for patients with blunt chest wall trauma presenting to the ED? Trauma. 2023;25(3):265-273. doi: 10.1177/14604086221142384 https://journals.sagepub.com/doi/abs/10.1177/14604086221142384?journalCode=traa.
- Battle C, Olsén MF, Grant J, et al. Provision of physiotherapy follow-up services for patients with blunt chest wall trauma: An international survey study exploring barriers and enablers. Trauma. 2026;28(1):18-29. doi: 10.1177/14604086251392387 https://journals.sagepub.com/doi/abs/10.1177/14604086251392387.
- Blais S, Boucher V, Brière R, et al. External retrospective validation of the STUMBL score for patients with isolated blunt thoracic trauma presenting to the emergency department. Injury. 2026;57(1):112761. doi: 10.1016/j.injury.2025.112761 https://pubmed.ncbi.nlm.nih.gov/40976766/.
- Calthorpe S, Webb MJ, Kimmel LA. The use of a decision-making tool to optimise physiotherapy practice for patients following chest trauma: Impact on patient and hospital outcomes. Trauma. 2025;0(0):14604086241293318. doi: 10.1177/14604086241293318 https://journals.sagepub.com/doi/abs/10.1177/14604086241293318.
- Coccolini F, Cremonini C, Moore EE, et al. Thoracic trauma WSES-AAST guidelines. World J Emerg Surg. 2025;20(1):78. doi: 10.1186/s13017-025-00651-1 https://pubmed.ncbi.nlm.nih.gov/41094688/. PEDS
- Dogrul BN, Kiliccalan I, Asci ES, et al. Blunt trauma related chest wall and pulmonary injuries: An overview. Chin J Traumatol. 2020;23(3):125-138. doi: 10.1016/j.cjtee.2020.04.003 https://pubmed.ncbi.nlm.nih.gov/32417043/.
- Enright D, Murphy O, Doran J, et al. Thoracic trauma in intensive care: A ten-year retrospective cohort study from a regional trauma unit. Trauma. 2026;0(0):14604086261439229. doi: 10.1177/14604086261439229 https://journals.sagepub.com/doi/abs/10.1177/14604086261439229.
- Ghneim MH, O’Connor JV, Scalea TM. Damage control thoracic surgery: What you need to know. J Trauma Acute Care Surg. 2025;98(1):11-19. doi: 10.1097/ta.0000000000004458 https://pubmed.ncbi.nlm.nih.gov/39375907/.
- Kara H, Bayir A, Degirmenci S, et al. Sternal fractures in blunt chest trauma: Retrospective analysis of 330 cases. J Coll Physicians Surg Pak. 2022;32(6):799-803. doi: 10.29271/jcpsp.2022.06.799 https://pubmed.ncbi.nlm.nih.gov/35686415/.
- Kaur N, Lewis S, Jenkinson H, et al. Management of major thoracic trauma: a narrative review. Anaesthesia. 2026;doi: 10.1111/anae.70284 https://pubmed.ncbi.nlm.nih.gov/42405450/.
- Kourouche S, Wiseman T, Lam MK, et al. Impact of comorbidities in severely injured patients with blunt chest injury: A population-based retrospective cohort study. Injury. 2024;55(6) doi: 10.1016/j.injury.2024.111538 https://pubmed.ncbi.nlm.nih.gov/38599952/.
- Lewis MR, Georgoff P. Minimally invasive management of thoracic trauma: current evidence and guidelines. Trauma Surg Acute Care Open. 2024;9(Suppl 2):e001372. doi: 10.1136/tsaco-2024-001372 https://pubmed.ncbi.nlm.nih.gov/38646032/.
- Liu B, Wang Z, Zhou F, et al. Incidence, risk factors, and machine learning prediction models of rib fractures in patients with traumatic thoracic vertebral fractures. Injury. 2025;56(11):112728. doi: 10.1016/j.injury.2025.112728 https://pubmed.ncbi.nlm.nih.gov/40913856/.
- Mahesh S. Blunt Chest Trauma. Medscape; 2022;2022. 5 January 2016. doi: Accessed 2022. https://emedicine.medscape.com/article/905863-overview. PEDS
- Meyer CH, Freedberg M, Tanghal J, et al. Does PIC score pick correctly? Evaluation of a modified-PIC based admission a single institution retrospective cohort study. Injury. 2025;56(1) doi: 10.1016/j.injury.2024.111860 https://pubmed.ncbi.nlm.nih.gov/39299821/.
- Mistry RN, Moore JE. Management of blunt thoracic trauma. BJA Educ. 2022;22(11):432-439. doi: 10.1016/j.bjae.2022.08.002 https://pubmed.ncbi.nlm.nih.gov/36304913/.
- Montes-Tapia F, Barreto-Arroyo I, Cura-Esquivel I, et al. Traumatic asphyxia. Pediatr Emerg Care. 2014;30(2):114-6. doi: 10.1097/pec.0000000000000067 https://pubmed.ncbi.nlm.nih.gov/24488162/. PEDS
- O’Donohoe RB, Mathew J, Winter N, et al. The effectiveness of an early management guideline for older patients following blunt thoracic injury. Injury. 2026:113155. doi: 10.1016/j.injury.2026.113155 https://pubmed.ncbi.nlm.nih.gov/41881750/.
- O’Donohoe RB, Mathew J, Winter N, et al. The effectiveness of an early management guideline for older patients following blunt thoracic injury. Injury. 2026;57(9) doi: 10.1016/j.injury.2026.113155 https://doi.org/10.1016/j.injury.2026.113155.
- Tobey N, Lopez RA, Waseem M. EMS chest injury. StatPearls. StatPearls Publishing; 2024. https://www.ncbi.nlm.nih.gov/books/NBK539743/.
- Tsigaras ZA, Kimmel LA, Lodge M, et al. Outcomes of conservatively managed traumatic thoracic vertebral and rib fractures in older adults at a major trauma centre. Trauma. 2025;0(0):14604086251387179. doi: 10.1177/14604086251387179 https://journals.sagepub.com/doi/abs/10.1177/14604086251387179.
- Wright M, Della Rocca GJ. American Academy of Orthopaedic Surgeons clinical practice guideline summary on the treatment of clavicle fractures. J Am Acad Orthop Surg. 2023;31(18):977-983. doi: 10.5435/jaaos-d-23-00472 https://pubmed.ncbi.nlm.nih.gov/37432981/.
Topic: Rib fractures
- Aamir J, Alade B, Caldwell R, et al. Sternal fractures and thoracic injury: an analysis of 288 sternal fractures attending a major trauma centre. Eur J Orthop Surg Traumatol. 2023;33(6):2619-2624. doi: 10.1007/s00590-023-03479-0 https://pubmed.ncbi.nlm.nih.gov/36735092/.
- Abu-Zidan FM, Alao DO, Cevik AA. Point-of-care ultrasound (POCUS) diagnosis of rib fractures. World J Emerg Surg. 2025;21(1):1. doi: 10.1186/s13017-025-00665-9 https://pubmed.ncbi.nlm.nih.gov/41350734/.
- Al Ma’ani M, Hejazi O, Sarani B, et al. Outcomes of rib fixation versus nonoperative management in flail chest: Does body mass index change the equation? J Trauma Acute Care Surg. 2026;100(1):47-53. doi: 10.1097/ta.0000000000004800 https://pubmed.ncbi.nlm.nih.gov/41114706/.
- Altamimi A, Musawa I, Alshahrani MA, et al. Minimally invasive total thoracoscopic fixation versus open fixation for multiple Rib fractures: Systematic review and meta-analysis of clinical outcomes. Injury. 2026;57(7):113336. doi: 10.1016/j.injury.2026.113336 https://pubmed.ncbi.nlm.nih.gov/42102768/.
- Ang D, Nathens A, Nayduch D, et al. A multicenter randomized controlled trial on the surgery of fractured ribs: The SOFRIB trial. Ann Surg. 2026;doi: 10.1097/sla.0000000000007053 https://pubmed.ncbi.nlm.nih.gov/41881849/.
- Aryan N, Grigorian A, Nahmias J, et al. Impact of obesity on outcomes of surgical stabilization of rib fractures. J Trauma Acute Care Surg. 2026;100(1):54-59. doi: 10.1097/ta.0000000000004788 https://pubmed.ncbi.nlm.nih.gov/41198081/.
- Bankhead-Kendall B, Radpour S, Luftman K, et al. Rib fractures and mortality: Breaking the causal relationship. Am Surg. 2019;85(11):1224-1227. doi: https://pubmed.ncbi.nlm.nih.gov/31775963/.
- Barry R, Thompson E. Outcomes after rib fractures in geriatric blunt trauma patients. Am J Surg. 2018;215(6):1020-1023. doi: 10.1016/j.amjsurg.2018.03.011 https://pubmed.ncbi.nlm.nih.gov/29548528/.
- Bauman ZM, Phillips J, Tian Y, et al. It doesn’t hurt as long as I don’t move: Aligning pain assessment in patients with rib fractures with mobilization needed for recovery. J Trauma Acute Care Surg. 2024;97(6):856-860. doi: 10.1097/ta.0000000000004446 https://pubmed.ncbi.nlm.nih.gov/39405440/.
- Bauman ZM, Tian Y, Doben AR, et al. Chest Wall Injury Society guidelines for surgical stabilization of rib fractures: Indications, contraindications, and timing. J Trauma Acute Care Surg. 2025:10.1097/TA.0000000000004750. doi: 10.1097/ta.0000000000004750 https://pubmed.ncbi.nlm.nih.gov/40802491/.
- Bauman ZM, Todd SJ, Raposo-Hadley A, et al. Impact of sternal fixation on patient outcomes: A case matched review. J Trauma Acute Care Surg. 2023;94(4):573-577. doi: 10.1097/ta.0000000000003824 https://pubmed.ncbi.nlm.nih.gov/36730841/.
- Bresgen TU, Salinaro F, Barcella B, et al. Acute pain management of rib fractures: a narrative review. Injury. 2025;56(12):112857. doi: 10.1016/j.injury.2025.112857 https://pubmed.ncbi.nlm.nih.gov/41223579/.
- Bui A, Gregorevic K, Read D, et al. Risk stratification in older adults with rib fractures: Performance of the STUMBL score. Injury. 2026:113601. doi: 10.1016/j.injury.2026.113601 https://pubmed.ncbi.nlm.nih.gov/42629302/.
- Carmona A, Nicolas M, Tusman G, et al. Cryoanalgesia in patients undergoing surgical stabilization of rib fractures: A comparative study. J Surg Res. 2025;doi: 10.1016/j.jss.2025.11.061 https://pubmed.ncbi.nlm.nih.gov/41407571/.
- Chen C, Sehgal A, Battle C, et al. Acute management of adults following chest wall injury: An assessment of institutional clinical practice guidelines across the UK and synthesis of care recommendations. Injury. 2025;56(5):112077. doi: 10.1016/j.injury.2024.112077 https://pubmed.ncbi.nlm.nih.gov/39665971/.
- Choi J, Zamary K, Barreto NB, et al. Intravenous lidocaine as a non-opioid adjunct analgesic for traumatic rib fractures. PLoS One. 2020;15(9):e0239896. doi: 10.1371/journal.pone.0239896 https://pubmed.ncbi.nlm.nih.gov/32986770/.
- Collis J, Farquharson B, Chan S, et al. The implementation of a rib fracture pathway at a small district general hospital to improve patient care. Cureus. 2023;15(5):e38863. doi: 10.7759/cureus.38863 https://pubmed.ncbi.nlm.nih.gov/37303343/.
- Craxford S, Owyang D, Marson B, et al. Surgical management of rib fractures after blunt trauma: a systematic review and meta-analysis of randomised controlled trials. Ann R Coll Surg Engl. 2022;144:1-e124. doi: 10.1308/rcsann.2021.0148 https://pubmed.ncbi.nlm.nih.gov/34928718/.
- Dehghan N, Nauth A, Schemitsch E, et al. Operative vs nonoperative treatment of acute unstable chest wall injuries: A randomized clinical trial. JAMA Surg. 2022;157(11):983-990. doi: 10.1001/jamasurg.2022.4299 https://pubmed.ncbi.nlm.nih.gov/36129720/.
- Fields AC, Castillo-Angeles M, Bryan MR, et al. Rib fracture injury guidelines for patients over the age of 65: Should these patients routinely be admitted to the intensive care unit? J Surg Res. 2025;315:443-450. doi: 10.1016/j.jss.2025.09.051 https://pubmed.ncbi.nlm.nih.gov/41086662/.
- Forrester JD, Bauman ZM, Cole PA, et al. Chest Wall Injury Society recommendation for surgical stabilization of nonunited rib fractures to decrease pain, reduce opiate use, and improve patient reported outcomes in patients with rib fracture nonunion after trauma. J Trauma Acute Care Surg. 2023;95(6):943-950. doi: 10.1097/ta.0000000000004083 https://pubmed.ncbi.nlm.nih.gov/37728432/.
- Forrester JD, Tung JT, Knight AW, et al. Chilling the nerve, easing the pain?: A randomized clinical trial evaluating surgeon-administered bedside percutaneous cryoneurolysis for rib fracture pain. J Trauma Acute Care Surg. 2026;100(6):863-870. doi: 10.1097/ta.0000000000004885 https://pubmed.ncbi.nlm.nih.gov/41604277/.
- Franssen A, Daemen JHT, Luyten JA, et al. Treatment of traumatic rib fractures: an overview of current evidence and future perspectives. J Thorac Dis. 2024;16(8):5399-5408. doi: 10.21037/jtd-23-1832 https://pubmed.ncbi.nlm.nih.gov/39268098/.
- Gabriel L, Ramesh H, Amarasinghe R, et al. Contemporary outcomes of flail chest injuries: An update from ACS-TQIP (2017-2023). J Trauma Acute Care Surg. 2026;doi: 10.1097/ta.0000000000005097 https://pubmed.ncbi.nlm.nih.gov/42296258/.
- Haberal MA, Demirci H, Çolak MA. Association of four or more rib fractures with complications in isolated blunt chest trauma. Am J Emerg Med. 2026;106:124-128. doi: 10.1016/j.ajem.2026.05.010 https://pubmed.ncbi.nlm.nih.gov/42114385/.
- Hoepelman RJ, Beeres FJP, Heng M, et al. Rib fractures in the elderly population: a systematic review. Arch Orthop Trauma Surg. 2023;143(2):887-893. doi: 10.1007/s00402-022-04362-z https://pubmed.ncbi.nlm.nih.gov/35137253/.
- Hopper W, Roberts J, Halvorson E, et al. Intercostal nerve cryoablation in surgical stabilization of rib fractures: Does the benefit depend upon patient acuity? J Trauma Acute Care Surg. 2026;doi: 10.1097/ta.0000000000005138 https://pubmed.ncbi.nlm.nih.gov/42468042/.
- Huelskamp MD, Mboulla Nzomo M, Horst N, et al. The impact of injury severity and age on short-and long-term mortality and hospital length of stay after surgical stabilisation of rib fractures (SSRF): a German population-based propensity-score matched investigation. World J Emerg Surg. 2026;21(1) doi: 10.1186/s13017-026-00682-2 https://pubmed.ncbi.nlm.nih.gov/41772696/.
- Hylands M, Gomez D, Tillmann B, et al. Surgical stabilization of rib fractures for flail chest: Analysis of center-based variability in practice and outcomes. J Trauma Acute Care Surg. 2024;96(6):882-892. doi: 10.1097/ta.0000000000004254 https://pubmed.ncbi.nlm.nih.gov/38196120/.
- Ikarine I, Altawil L, Kartiko S, et al. Intercostal nerve cryoablation as an adjunct to surgical stabilization of rib fractures: A systematic review, meta-analysis, and GRADE assessment. J Surg Res. 2026;322:61-69. doi: 10.1016/j.jss.2026.03.044 https://pubmed.ncbi.nlm.nih.gov/41965210/.
- Ingoe HM, Eardley W, McDaid C, et al. Epidemiology of adult rib fracture and factors associated with surgical fixation: Analysis of a chest wall injury dataset from England and Wales. Injury. 2020;51(2):218-223. doi: 10.1016/j.injury.2019.10.030 https://pubmed.ncbi.nlm.nih.gov/31690496/.
- Jensen S, Sanderfer VC, Porter K, et al. Surgical stabilization of rib fractures in the geriatric trauma population is associated with equivalent outcomes to a younger cohort: A propensity-matched analysis. Injury. 2024;doi: 10.1016/j.injury.2024.111593 https://pubmed.ncbi.nlm.nih.gov/38762943/.
- John TS, Adrian C, Patrick G, et al. To fix or let them flail: the who, what and when of rib fixation. Trauma Surg Acute Care Open. 2025;10(Suppl 1):e001801. doi: 10.1136/tsaco-2025-001801 https://pubmed.ncbi.nlm.nih.gov/40400729/.
- Kelley KM, Burgess J, Weireter L, et al. Early use of a chest trauma protocol in elderly patients with rib fractures improves pulmonary outcomes. Am Surg. 2019;85(3):288-291. doi: https://pubmed.ncbi.nlm.nih.gov/30947776/.
- Koushik SS, Bui A, Slinchenkova K, et al. Analgesic techniques for rib fractures—A comprehensive review article. Curr Pain Headache Rep. 2023;27(11):747-755. doi: 10.1007/s11916-023-01172-9 https://pubmed.ncbi.nlm.nih.gov/37747621/.
- Kwon J, Zakhary B, Coimbra BC, et al. Early surgical stabilization of multiple rib fractures and flail chest is associated with better outcomes compared with nonoperative management. J Trauma Acute Care Surg. 2025;doi: 10.1097/ta.0000000000004770 https://pubmed.ncbi.nlm.nih.gov/40828411/.
- Lauer KV, O’Rourke AP, Austin-Nash KE, et al. Should we be scoring pain differently for rib fractures? A comparison of two scoring systems. Injury. 2025;doi: 10.1016/j.injury.2025.112625 https://pubmed.ncbi.nlm.nih.gov/40750533/.
- Li C, Juan YS, Hu HL, et al. Impact of frailty on outcomes after multiple rib fractures and flail chest undergoing surgical stabilization of rib fractures: a propensity score-matched analysis of the Nationwide Inpatient Sample 2005-2020. Am J Surg. 2025;249:116572. doi: 10.1016/j.amjsurg.2025.116572 https://pubmed.ncbi.nlm.nih.gov/40834660/.
- Lucena-Amaro S, Cole E, Zolfaghari P. Long term outcomes following rib fracture fixation in patients with major chest trauma. Injury. 2022;doi: 10.1016/j.injury.2022.04.020 https://pubmed.ncbi.nlm.nih.gov/35513938/.
- Maghsoudi T, Bower K, Locklear T, et al. How timing of regional anesthesia impacts outcomes in traumatic rib fracture patients: A Trauma Quality National Improvement Program–based study. J Surg Res. 2026;322:104-112. doi: 10.1016/j.jss.2026.03.058 https://pubmed.ncbi.nlm.nih.gov/41965207/.
- Mukherjee K, Schubl SD, Tominaga G, et al. Non-surgical management and analgesia strategies for older adults with multiple rib fractures: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2023;94(3):398-407. doi: 10.1097/ta.0000000000003830 https://pubmed.ncbi.nlm.nih.gov/36730672/.
- Nasef H, Chin B, Nunes N, et al. Surgical stabilization of rib fractures in adult trauma patients with flail chest with or without severe traumatic brain injury: A national analysis. Injury. 2026;57(10):113602. doi: 10.1016/j.injury.2026.113602 https://pubmed.ncbi.nlm.nih.gov/42628226/.
- Neupane I, Wice M, Monteiro JFG, et al. Impact of geriatric trauma co-management on 1-year mortality in older adults with multiple rib fractures. R I Med J (2013). 2023;106(4):19-24. doi: https://pubmed.ncbi.nlm.nih.gov/37098142/.
- Orduño Villa NY, Bhatt H, Hernandez J, et al. Cost-benefit analysis of rib fixation for multiple rib fractures in US trauma patients. J Trauma Acute Care Surg. 2026;100(1):33-39. doi: 10.1097/ta.0000000000004764 https://pubmed.ncbi.nlm.nih.gov/40802492/.
- Ozgur GK, Akcam TI, Arkoc K, et al. Comparative evaluation of external chest wall fixator treatment effectiveness in patients with rib fractures. Injury. 2025;56(10):112675. doi: 10.1016/j.injury.2025.112675 https://pubmed.ncbi.nlm.nih.gov/40829526/.
- Peuker F, Hoepelman RJ, Beeres FJP, et al. Nonoperative treatment of multiple rib fractures, the results to beat: International multicenter prospective cohort study among 845 patients. J Trauma Acute Care Surg. 2024;96(5):769-776. doi: 10.1097/ta.0000000000004183 https://pubmed.ncbi.nlm.nih.gov/37934655/.
- Pieracci FM, Majercik S, Ali-Osman F, et al. Consensus statement: Surgical stabilization of rib fractures. Rib fracture colloquium clinical practice guidelines. Injury. 2017;48(2):307-321. doi: 10.1016/j.injury.2016.11.026 https://pubmed.ncbi.nlm.nih.gov/27912931/.
- Rafaqat W, Panossian VS, Yi A, et al. Long-term functional recovery after rib fractures: The impact of frailty. J Trauma Acute Care Surg. 2024;doi: 10.1097/ta.0000000000004489 https://pubmed.ncbi.nlm.nih.gov/39621411/.
- Sarani B, Pieracci F. Contemporary management of patients with multiple rib fractures: What you need to know. J Trauma Acute Care Surg. 2024;97(3):337-342. doi: 10.1097/ta.0000000000004338 https://pubmed.ncbi.nlm.nih.gov/38548709/.
- Schubl SD, Greig CJ, Doben A. Intrathoracic surgical stabilization of rib fractures: What you need to know. J Trauma Acute Care Surg. 2026;100(3):359-365. doi: 10.1097/ta.0000000000004832 https://pubmed.ncbi.nlm.nih.gov/41701566/.
- Sermonesi G, Bertelli R, Pieracci FM, et al. Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper. World J Emerg Surg. 2024;19(1):33. doi: 10.1186/s13017-024-00559-2 https://pubmed.ncbi.nlm.nih.gov/39425134/.
- Shiroff AM, Wolf S, Wu A, et al. Outcomes of surgical versus nonsurgical treatment for multiple rib fractures: A US hospital matched cohort database analysis. J Trauma Acute Care Surg. 2023;94(4):538-545. doi: 10.1097/ta.0000000000003828 https://pubmed.ncbi.nlm.nih.gov/36730674/.
- Simmonds A, Smolen J, Ciurash M, et al. Early surgical stabilization of rib fractures for flail chest is associated with improved patient outcomes: An ACS-TQIP review. J Trauma Acute Care Surg. 2023;94(4):532-537. doi: 10.1097/ta.0000000000003809 https://pubmed.ncbi.nlm.nih.gov/36949054/.
- Singleton JM, Bilello LA, Canham LS, et al. Chest computed tomography imaging utility for radiographically occult rib fractures in elderly fall-injured patients. J Trauma Acute Care Surg. 2019;86(5):838-843. doi: 10.1097/ta.0000000000002208 https://pubmed.ncbi.nlm.nih.gov/30676527/.
- Surgeons ACo. Best practices guidelines: Management of chest wall injuries. 2025. ACS Trauma Quality Programs. https://www.facs.org/media/qdgliayt/2025_tr_bestpracticesguidelines_chest-wall.pdf.
- Tignanelli CJ, Rix A, Napolitano LM, et al. Association between adherence to evidence-based practices for treatment of patients with traumatic rib fractures and mortality rates among US trauma centers. JAMA Netw Open. 2020;3(3):e201316. doi: 10.1001/jamanetworkopen.2020.1316 https://pubmed.ncbi.nlm.nih.gov/32215632/.
- Todd K, L’Huillier JC, Jalal K, et al. Age or frailty: What predicts outcomes in geriatric patients with rib fractures? J Surg Res. 2026;321:173-185. doi: 10.1016/j.jss.2026.02.026 https://pubmed.ncbi.nlm.nih.gov/41887162/.
- Tsigaras ZA, Kimmel LA, Lodge M, et al. Outcomes of conservatively managed traumatic thoracic vertebral and rib fractures in older adults at a major trauma centre. Trauma. 2026;28(1):30-37. doi: 10.1177/14604086251387179 https://journals.sagepub.com/doi/abs/10.1177/14604086251387179.
- Van Wijck SFM, Pieracci FM, Smith EF, et al. Rib fixation in patients with severe rib fractures and pulmonary contusions: Is it safe? J Trauma Acute Care Surg. 2022;93(6):721-726. doi: 10.1097/ta.0000000000003790 https://pubmed.ncbi.nlm.nih.gov/36121283/.
- Velez DR, Adamska N, Dickinson A, et al. Evolving outcomes after rib fractures in geriatric patients: Revisiting historical data in the modern era. J Surg Res. 2026;321:461-466. doi: 10.1016/j.jss.2026.03.025 https://pubmed.ncbi.nlm.nih.gov/41934834/.
- White LD, Riley B, Seidel D, et al. Rib fracture-related morbidity and mortality for older persons in the era of fascial plane blocks: A cohort study. Trauma. 2024;26(1):43-48. doi: 10.1177/14604086221125725 https://journals.sagepub.com/doi/abs/10.1177/14604086221125725.
- Wu C-J, Lai C-Y, Ting Y-L, et al. Paradoxical motion of the chest wall. J Emerg Nurs. 2025;51(1):27-29. doi: 10.1016/j.jen.2024.09.009 https://pubmed.ncbi.nlm.nih.gov/39800445/.
- Zangbar B, Mehta R, Prabhakaran K, et al. Rib fractures in frail geriatric patients: Does surgical stabilization improve outcomes? J Trauma Acute Care Surg. 2026;100(1):40-46. doi: 10.1097/ta.0000000000004761 https://pubmed.ncbi.nlm.nih.gov/40828196/.
Topic: Ventilation problems/tissue O2 cascade
- Angus DC, Seymour C, Bibbins-Domingo K. Caring for patients with acute respiratory distress syndrome. JAMA. 2023;330(4):368-371. doi: 10.1001/jama.2023.6812 https://pubmed.ncbi.nlm.nih.gov/37329332/.
- Cipulli F, Miori S, Balzani E, et al. Noninvasive ventilation failure in thoracic trauma: A retrospective study on predictive scores, ventilatory strategies and pain management’. J Crit Care. 2025;89:155137. doi: 10.1016/j.jcrc.2025.155137 https://pubmed.ncbi.nlm.nih.gov/40505205/.
- Gattinoni L, Taccone P, Carlesso E, et al. Prone position in acute respiratory distress syndrome. Rationale, indications, and limits. Am J Respir Crit Care Med. 2013;188(11):1286-93. doi: 10.1164/rccm.201308-1532CI https://pubmed.ncbi.nlm.nih.gov/24134414/.
- Taniguchi H, Utsumi S, Kajiyama T, et al. Noninvasive respiratory support strategies in chest trauma: A systematic review and network meta-analysis. J Trauma Acute Care Surg. 2026;doi: 10.1097/ta.0000000000004987 https://pubmed.ncbi.nlm.nih.gov/41989256/.