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AAST Chest Wall Injury Scale

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Grades chest wall trauma from contusion and few closed rib fractures through flail segments to bilateral flail chest using the AAST organ injury scale.

Also searched as: chest-wall · rib · flail-chest · trauma · OIS

AAST chest wall grade
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  • Please provide: injury grade.

How this tool works

The AAST chest wall injury scale (Moore et al., Organ Injury Scaling III) grades contusions, soft-tissue lacerations, and fractures of ribs, clavicle, sternum, and scapula. It is confined to the chest wall and does not encode associated intrathoracic visceral injury. Grade rises with number of ribs, displacement/open status, flail physiology, and soft-tissue avulsion. Higher-grade flail chest often needs ICU care, analgesia optimization, and consideration of surgical stabilization of rib fractures in selected patients.

References

Implemented from the cited published sources. Educational use only; confirm against current guidelines before clinical use.