Pain Management and Procedures

Question 1

How do you assess pain in a fracture?

Answer 1

History

• Mechanism of injury
• Characterise the pain - visual analog scan
• PMx
• Medications given

Exam
- posture, distress

Question 2

How do you manage

Answer 2

Management
- distraction 
- immobilisation - sling, back slab
- IV fluids 
Analgesia 
- Panadol up to 20mg/kg
- Ibuprofen
- Intranasal phentanyl SE hypotension, n/v, resp depression
contradiction: change in conscious state, epistaxis, allergy
- Endone, IV morphine
- Tramadol 
- Ketamine for relocating 
- ?Ondansetron for nausea