The flail segment classically involves anterior (sternal separation) or lateral

rib fractures. Posterior rib fractures usually do not produce a flail segment
because stability is provided by the heavy musculature.


In the presence of underlying lung or chest injury, positive-pressure ventilation
may promote the development of a pneumothora because of delayed
ehalation and increased intrapulmonic pressures.


T!enty-five percent of all traumatic deaths are secondary to injuries in this
region.
"ppropriate patient care includes aggressive air!ay management,
oygenation, ventilation, and fluid resuscitation.
#pecific interventions, such as pleural decompression or stabili$ation of a flail
segment, can also affect mortality and morbidity from chest trauma.
%nderstand the pathologic processes affecting the chest during trauma.