Chest trauma is very painful as rest is not possible, pain is experienced with every breath. A multi-modal approach ideal with MDT involvement (ICU, anaesthesia and pain)
Rib fractures are associated with significant morbidity, especially in the elderly and especially if multiple fractures are present. Apart from being humane, optimal analgesia may help prevent respiratory deterioration
A 22 year old man is brought in by ambulance after a rugby injury - he was sandwiched between two players. He is complaining of left lower anterolateral chest pain worse with inspiration.