If if shock/risk of shock (eg suspected fractured femur) set up a Haemaccel i.v. drip (does not affect cross-matching)
Immobilisation: - possible spinal injury: don't move patient until expert help arrives then 'in-line immobilisation': collar, sandbags, tape and long spinal board - shoulder: high sling - arm, forearm, wrist or hand: sling - hip: place pillow laterally to prevent external rotation - hip,thigh or leg: pad and strap to other leg - always ensure that the immobilisation doesn't increase the pain - removing inappropriate splints is often a great relief on arrival at A/E departments
If immobilisation does not give adequate pain relief, use parenteral opiate & antiemetic unless contraindicated
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.