Physical Education

Fracture of the Rib
Make the casualty as comfortable as possible so that the chances of further damage to the lungs, heart, or chest wall is minimized.
A common finding in all casualties with fractured ribs is pain at the site of the fracture. Ask the casualty to point to the exact area of pain to assist you in determining the location of the fracture. Deep breathing, coughing, or movement is usually painful. The casualty should remain still and may lean toward the injured side, with a hand over the fracture to immobilize the chest and ease the pain.
Simple rib fractures are not bound, strapped, or taped if the casualty is comfortable. If the casualty is more comfortable with the chest immobilized, use a sling and swathe (Fig. 6-4). Place the arm on the injured side against the chest, with the palm flat, thumb up, and the forearm raised to a 45-degree angle. Immobilize the chest, using wide strips of bandage (ace wrap) to secure the arm to the chest.

Figure 6-4 - Swathe Bandage for Fractured Rib Victim