## Overview Severe rib fractures can lacerate the intercostal arteries that run along the caudal border of each rib. Bleeding into the chest (hemothorax) causes rapid respiratory distress, pale gums, and elevated heart rate. It is a life-threatening emergency. ## Causes Displaced rib fractures from kicks, falls, or collisions. ## Diagnosis Clinical signs of shock and respiratory distress after chest trauma, ultrasound showing free blood in the pleural space, and radiographs of the ribs. ## Treatment Emergency stabilization, blood transfusion if needed, and drainage of the hemothorax. Surgical control of bleeding is rarely feasible. Prognosis is guarded. ## Recovery and Prognosis Guarded to poor depending on the volume of blood loss and associated injuries. ## Prevention Trauma avoidance.
rapidly developing hemothorax; respiratory distress; pale gums; rapid heart rate after chest trauma
## Overview Severe rib fractures can lacerate the intercostal arteries that run along the caudal border of each rib. Bleeding into the chest (hemothorax) causes rapid respiratory distress, pale gums, and elevated heart rate. It is a life-threatening emergency. ## Causes Displaced rib fractures from kicks, falls, or collisions. ## Diagnosis Clinical signs of shock and respiratory distress after chest trauma, ultrasound showing free blood in the pleural space, and radiographs of the ribs. ## Treatment Emergency stabilization, blood transfusion if needed, and drainage of the hemothorax. Surgical control of bleeding is rarely feasible. Prognosis is guarded. ## Recovery and Prognosis Guarded to poor depending on the volume of blood loss and associated injuries. ## Prevention Trauma avoidance.
rapidly developing hemothorax; respiratory distress; pale gums; rapid heart rate after chest trauma