Ribcage and Crush Injuries

RIBCAGE INJURIES

The ribcage can become damaged from being crushed or an object failing on the casualty. Remember the ribcage will also be damaged when performing CPR.

Where a rib is broken and become detached this is known as a flail chest.

TREATMENT

• Sit the casualty down and support them
• Lean them towards the injured side
• If the casualty will allow, apply an elevated sling to the arm on the injured side as this will relieve the pressure off the ribcage.
• Call for an ambulance
• If the casualty becomes unresponsive, place them in the safe airway position
• Monitor their airway and breathing

CRUSH INJURY

Crush injuries anywhere can lead to toxin buildup in the affected limb, which may cause cardiac arrest if released.

If it’s been less than 15 minutes, it’s safe to remove the obstruction.

TREATMENT LESS THAN 15 MINUTES

• If possible, remove the obstructions
• Treat from breathing, bleeding, breaks or burns
• Treat for shock
• Call for an ambulance

TREATMENT MORE THAN 15 MINUTES

• Do not remove the obstruction
• Call for an ambulance
• Monitor the casualty’s breathing and response levels
• Be prepared to administer CPR