Effect of Coolant Spray on Traumatic Rib Pain of Geriatric Patients

Inclusion Criteria: * Trauma developed in less than 24 hours. * Presence of rib fractures below 3 (6). * Rib fractures being limited to a single hemithorax. * Having a visual analog scale (VAS) score of 5 or more. Exclusion Criteria: * Inability to provide informed consent (altered mental state, non-Turkish-speaking). * Patients with chest injury scores above 11 were excluded from the study because of the insufficiency of this multimodal treatment. * Having additional trauma-related injuries (including lung contusion, pneumothorax, hemothorax, etc.), skin lesions at the site of trauma, and/or trauma-related pain in multiple regions of the thorax. * Patients with fractures in ribs 1 and 2 (in terms of the risk of serious injury that may accompany). * History of regular analgesic usage (such as chronic pain syndrome, rheumatoid arthritis, osteoarthritis), antiaggregant and anticoagulant drug usage, and/or allergy to nonsteroidal antiinflammatory drugs (NSAID) and narcotic analgesics. * History of having coagulation disorders, hematologic disease, gastrointestinal bleeding, uncontrolled heart failure, chronic renal failure, chronic liver failure, and chronic lung disease. * Patients in whom trauma-related complications developed during the ED follow-up, the general condition worsened, vital signs were unstable, and patients that needed to be hospitalized.