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Flail chest is a life-threatening thoracic injury in which three or more consecutive ribs are fractured in two or more places, creating a free-floating segment of the chest wall. 🔁 Pathophysiology The fractured rib segment becomes detached from the rest of the thoracic cage. During inspiration → negative intrathoracic pressure pulls the flail segment inward. During expiration → it bulges outward. This is called paradoxical respiration. ➡ Leads to: Impaired ventilation Decreased tidal volume Hyp
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