Prioritisation 6
You have 10 minutes for the following scenario
Scenario
You are the ST3 working the night shift in a district general hospital and have been asked to organise the theatre list for the following day. You have one theatre (half day) with a consultant present supervising an ST3.
|
Patient |
Details |
|
1 |
51YO male with ankle fracture |
|
2 |
65YO male with back pain, saddle anaesthesia, MRI pending |
|
3 |
44YO female with neck of femur |
|
4 |
5YO child with a distal radius and median nerve symptoms |
|
5 |
90YO neck of femur fracture, PPM, Hb 70. |
- Location – District General Hospital
- II – Available for ½ day list
- Consultant – Lower limb surgeon happy to do any type of case
- COVID + MRSA – All patients negative
- Consented + marked – All patients
- Kit – All kit available
- Allergies – No patients have latex and iodine allergies
Patient | Details |
|
1 | 51M ankle fracture | When did the injury occur? Today Not swollen Isolated injury In a backslab and in joint Closed injury |
2 | 65M back pain, saddle anaesthesia | Post void bladder scan 300ml Has not been discussed with the spinal unit MRI will not occur over night in this hospital Bilateral symptoms |
3 | 44F with NOF | Intracapsular Isolated injury/ATLS has been done No anticoagulation No PMH Closed injury |
4 | 5YO with distal radius and median nerve | Currently in backslab Symptoms improve when backslab removed 5 degrees dorsal angulation Repeat backslab placed reduced angulation no further symptoms |
5 | 90YO NOF | No Pacemaker check CXR, ECG pending Orthogeries review pending Intracapsular AMTS 7/10 Injury occurred today arrived in A+E 1 hour ago PPM check and bipolar diathermy |
Emergency referral to spinal unit
- 65M Back pain, saddle anaesthesia
Theatre list for tomorrow
- 44F with NOF (inform consultant on call)
- 51 Ankle fracture
Discussion in MDT
- 5YO with distal radius fracture
Not ready for surgery
- 90YO Neck of Femur
