265 Assessing Management of Rib Fractures in the ICU Patient

Abstract Aim Assess if the General Intensive Care Unit (ICU) are appropriately following trust guidelines on rib fracture management. Method Data gathered from patients admitted to between March and May 2021 with any diagnosis code involving (n = 19). Exclusions: not general ICU, or who died before being extubated. Of remaining 14) data on: Results All were prescribed regular simple analgesia. Most strong analgesia 10) lidocaine patches 13). had pain assessments. 9 referred for a block/epidural, out of 12 met criteria referral. 10 fixation, 4 11 6 developed LRTI post fracture. Conclusions The basic management fractures in ICU is appropriate; 100% assessments pain. However, some consideration block 3) fixation 1) did have documentation that they referred. Rib often do occur isolation, it may be other injuries served as distractors.