> Is anyone else out there using sedation [midazolam] for this? Our Biers
> tournequet passed away a couple of years ago and I got fed up with
> waiting
> for our business manager to stump up the cash to replace it. I've never
> been
> a big fan of the "haematoma block" having witnessed the orthopods
> [ab]using
> the technique in their torture chambers. I therefore extended the
> sedation
> policy we were already using for dislocated shoulders etc with advice
> re low
> incremental doses in the elderly, in resus, full monitoring etc. To date
> [touch wood] no problems, good results [orthos not moaning], and
> satisfied
> patients [SHO audit project earlier this year]
>
> Best wishes, Bill Bailey
>
Gosh, that takes me back to the bad old days when I was an A&E SHO in a Kent town. I did my first reduction with some textbook
open using it like a recipe book. I used to use diazepam (Diazemuls may just have come out) 15mg, because they remembered the
pain with 10mg and stopped breathing with 20!
Which brings me on to two good questions for the SHOs. What radiological features did Colles describe? and name the seven
features of a Colles fracture.
Best wishes,
Rowley Cottingham
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http://www.emergencyunit.com
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