“Traumatic Pain Management…” Case Conclusion August 6, 2012
Posted by Andy Jagoda, MD in: Drugs & Emergency Procedures, General Emergency Medicine, Trauma , trackback
After establishing hemodynamic stability with your motor vehicle collision patient, you considered the potential for masking serious injuries with analgesia but realized that appropriate pain control has not been shown to contribute to missing serious injuries in this context. After a dose of IV fentanyl, her heart rate normalized and her pain improved, but she still had tenderness with palpation of the left upper quadrant. A CT scan showed a grade II splenic laceration but no other emergent pathology. You consulted a trauma surgeon, who agreed with your plan for admission for observation and pain control.
Congratulations to Dr. Nasser, Dr. Oelhaf, and Dr. Noman — this month’s winners of the exclusive discount coupon for Emergency Medicine Practice. For an evidence-based review of the etiology, differential diagnosis, and diagnostic studies for An Evidence-Based Approach To Traumatic Pain Management In The Emergency Department, purchase the Emergency Medicine Practice issue.