Adult Fracture & Dislocation Management

Question 1

Adult Fracture and Dislocation Management - Limb realignment indicated for? (2)

Answer 1

Gross deformity that could compromise transport exists

Distal neurovascular status is compromised

Question 2

Adult Fracture and Dislocation Management - Initial actions? (5)

Answer 2

Expose injury
Control bleeding
Assess distal circulation 
IV
Analgesia

Question 3

Adult Fracture and Dislocation Management - Neurovascular or circulatory compromise present?

Answer 3

Treat with either analgesia or procedural sedation protocol

Perform one time limb realignment

Question 4

Adult Fracture and Dislocation Management - Nitrous oxide indication

Answer 4

Pain of musculoskeletal origin, particularly fractures

Question 5

Adult Fracture and Dislocation Management - Nitrous oxide dose

Answer 5

Self-administered prn

Question 6

Adult Fracture and Dislocation Management - Nitrous oxide contraindications (5)

Answer 6

Inability to follow instructions
Intoxication
Head injury
Thoracic injury suspicious for pneumothorax
Abdominal pain and distension suspicious of bowel obstruction