Fracture Night
3 jobs, 2 quite nasty fractures, 1 non conveyed.
First call was to a young man who had jumped some 15 feet on to a
tarmac path sustaining a significant fracture dislocation of the
ankle. Surprisingly he was not complaining of too much pain and even
refused entonox. Moved on to the trolley his foot was supported on a
pillow and he was transported too hospital in relative comfort. The
presence of a good pedal pulse means that he should recover well even
though the x ray we saw later that night was quite impressive with
fractures to the tibia and fibula.
Secondly we went to a young boy who had fallen from a skateboard and
fractured both ulna and radius in a classic Colles fracture. He was in
bucket loads of pain and was given paracetamol, oramorph and entonox.
Gratifyingly we seem to have made his pain much better by the use of a
vacuum splint.
Third call was to a gentleman who had imbibed 4 liters of white cider
and unsurprisingly had fallen over on his way home. Despite a
laceration that may have needed closure he declined so was cleaned up
and after signing a refusal form was allowed on his way.
