Essay Example on Hip dislocations are infrequent occurring almost Always

After complete the primary survey proceed with secondary survey On assessment no neck tenderness deep laceration wound over extensor aspect of right elbow communicating with elbow joint exposed soft tissue but no active bleeding Noted deep laceration wound over anterolateral aspect of right knee region communicating with knee joint oozing of blood but stopped with compression Then superficial laceration wound over dorsum region of right foot exposed tendon but no tendon cut Full range of motion of toes and ankle Lastly punctured wound seen over anterolateral aspect of left knee but no active bleeding Fast scan done and no free fluid intra abdominally Plan for patient IM ATT anti tetanus stat Branula inserted and administer drip maintenance since patient don t have any sign of shock IV Morphine 3mg stat given to reduce the pain IV maxolon 10mg and start antibiotic for prophylaxis since patient have open wound IV Cefuroxime 1 5mg and IV Flagyl 500mg stat given Sent patient for cervical chest pelvic right elbow ulna radius wrist upper limb x ray and also right femur knee tibia fibula ankle foot lower limb x ray After x ray done the report shows right anterior hip dislocation open fracture proximal 1 3 right ulna and closed fracture distal 1 3 right fibula Patient was slinted at fracture site Decided to do close reduction CMR on right hip under sedation Reduction done on right hip with sedation of IV fentanyl 100mg and propofol 100mg Case referred to orthopaedic team for further management Reviewed by Ortho team at emergency department and continue treatment as ordered Add IV Gentamycin 240mg stat and for wound irrigation Repeat pelvic X ray post reduction of the hip Continue monitoring of the patient and admit to orthopaedic ward for surgical intervention later