Síguenos en Twitter     Síguenos en Facebook     Síguenos en YouTube     Siguenos en Linkedin     Correo Grupsagessa     Gmail     Yahoo Mail     Dropbox     Instagram     Slack     Google Drive     Print     StumbleUpon     StumbleUpon     StumbleUpon     StumbleUpon


Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com


iEM Education Project in 12 Questions (https://iem-student.org/)

Buscar en contenido


lunes, 26 de septiembre de 2016

Sternal Fractures

The Skeptics Guide to Emergency Medicine
SGEM#161 - September 21st, 2016 - By Chris Bond
"Clinical Question: What are the complications and outcomes of patients with isolated sternal fracture discharged from the emergency department compared to those with other minor thoracic injury?
Primary Outcome: Delayed hemothorax within 14 days
  • Total: 112/969 (11.6%)
  • Sternal Facture Group: 4/32 (12.5%)
  • Rib Fracture(s) Group: 70/304 (23%)
  • No Fracture Group: 38/633 (6%)
Notably, none of the four patients with delayed hemothorax in isolated sternal fractures required drainage, while three cases in the rib fractures group did require drainage.
No other major complications and no mortality was observed at 90 days...
SGEM Bottom Line: Patients discharged home with isolated sternal fractures have a risk of delayed hemothorax. These are painful injuries and patients should be provided with adequate analgesia and follow-up."