You are the duty consultant at a tertiary trauma centre when a 26-year-old man is brought in after a suicide attempt. He jumped in front of an oncoming train, which ran over his right arm while the rest of him was largely unscathed. Extrication from the scene was prolonged.
On arrival he is agitated and in significant pain. A photo of the affected limb is shown below.
| Observation |
Value |
| GCS |
13 (E3 V4 M6) |
| HR |
130 bpm |
| BP |
100/80 mmHg |
| RR |
24/min |
| SaO2 |
100% room air |
| Temperature |
34.7 C |
Affected limb after traumatic injury
List four (4) signs of peripheral arterial injury.
(Marked out of 4.0)
/ 4
Other than parenteral opioids, state two (2) options for immediate pain management.
(Marked out of 2.0)
/ 2
State six (6) ongoing management priorities in the emergent care of this patient.
(Marked out of 6.0)
/ 6
Total Score: 0 / 12
Percentage: 0%
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