soft itssue injuries pain CPG Flashcards
?what are the managment numpnics for soft tissue injuries
rice - reset, ice, elevate, compres and ehat - avoid heat, alcohol, reinjury and massage
when should ypu stop and not use thos CPG?
if there is evidence of sevre fracture or dislocation
neuromusclar impairment
pain unable or unlikley to be controlled with orla analgesics
suspected non-accidental
what needs to be assesssed?
if pt able to acess primary care provider for further manamgement and ambulate
if a paitent can see primary care provider and ambulate what should be done?
provide self care advice- rice and harm
refer for revewi within 25 hours
consider panadol
provide pt with health sheet and confirm pt understands infomation before departing the scene
what are the ottawa ankle rules for ankle imaging?
tenderness at eith the distal 6cm of tib/fib at mealloulus or inability to walk/take 4 steps
what are the ottawa ankle rules for mid foot?
boney tenderness at bas 5th metatarsle or navicular
or inability to walk
what are the reccomendations when applying the ottawa ankle rules?
palpaite entire 6 cm of distal tib/fib
not for people under 18
dont neglect importance of medial mellor tenderness
when should clinical judgment prevail over the rules?
if
significant distracting injury
inability to feel/nerve compromise
intoxication/uncooperative
unable to palpate malleolous due to swelling