Thursday, August 23, 2007
What a "traumatic" morning! Today most of the cases I saw were trauma cases - one of my blind spot! Really need to thank Dr A for the valuable lessons he taught me today. He belonged to the adult emergency side but he was so kind to come help me with 2 fracture cases. Both involved distal radial fracture, one of which was a buckle, and the other was slightly displaced and was angulated. The former - I reduced it myself! Haha but after 2 attempts. Now I understand what it meant when people say that children's bones are like plasticine. It's so malleable! The latter was more exciting. We did a Bier's block (1 plug on each hand, inflate cuff BP x2 the patient's systolic BP, IV lignocaine 2mg/kg, wait 5 mins - ask for periorbital numbness, look at cardiac monitoring), and Dr A reduced it! You should see how much force he exerted! and how perfect the post M&R reduction was! Definitely impressed!
