• Tetanus booster
• Cefazolin
• Morphine
• Zofran
• NPO
• Bedside digital block with lidocaine and then realignment of 3rd digit to minimize ischemia
• Hand surgery consultation and emergent operation (debridement, microvascular repair/reattachment, fixation)
• Admitted directly to the operating room roughly 90 minutes after arrival (roughly 150 minutes after initial trauma)
• Keith Cross, MD University of Louisville
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Finger amputation
• Digit amputation
• Hand trauma
• Crush injury
• Fractured phalanx (multiple)
• Open fracture(s)
• Partial amputation
• Ischemia
• Nerve injury
• Subungual hematoma
• Compartment syndrome
• Radiographs
Finger amputation
• Gender: Male
• Age: 11 years
• Height: Not Available
• Weight: 105.8 lb/48 kg
• Temperature: 97.5 F/36.4 C
• Blood Pressure: 129/88
• Heart Rate: 92
• Respiratory Rate: 15
• Pulse Oximetry: 98% RA
Acute onset, right hand injury
• Parents stopped vaccinating at 3 years of age
• S/P Tonsillectomy – no problems with anesthesia
• Lives at home with family, attends school
• None at home
• Morphine admin by EMS en route
(956) 328-3040
info@emt-school.com
CEED, Mission Texas
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