Clinical Summary
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Print this summary and document in the patient notes and Nervecentre.
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RIBiT Clinical Summary
Rib Injury Bedside Information Tool
Northampton General Hospital · NGH-GU-1970
22/05/2026, 23:25:52
Affix patient identification label here
Patient assessment
Age—
Number of rib fractures—
SpO₂ on room air—
Chronic lung disease—
Pre-injury anticoagulation—
Other traumatic injuries—
Imaging confirmed fractures—
RAS score & risk
Age0
Rib fractures0
Chronic lung disease0
Pre-injury anticoagulation0
SpO₂0
Total RAS0
Risk categoryPlan A
Referral triggers
None identified.
No MTC discussion indicated.
Recommended analgesia
Plan A — Simple analgesia
Based on RAS 0 — Plan A. Reassess in 60 minutes.
- •Regular paracetamol PO 1g QDS (500mg QDS if <50kg)
- •Regular codeine PO 30–60mg QDS +/- laxative
- •+/- NSAIDs: ibuprofen PO 400mg TDS unless contraindicated
- •+/- Oral morphine 2.5–10mg PRN (based on age/weight/frailty)
- •+ PRN antiemetic
Currently on pain management—
Previous plan—
Static pain0/10
Dynamic pain—
Reassess after 60 minutes. If pain remains dynamic, escalate to the next plan. If no escalation is required at the 60-minute review, consider discharge with analgesia at clinician discretion.
Acute Pain Service contact
In hours APS bleep
4270
Out of hours anaesthetic registrar bleep
6004
Clinical decision support tool only. Does not replace clinician judgement. Adults over 17 years old only.