Round 5 (MW) – Leg Pain

You are working at Clerkship General Hospital when EMS calls in a female with opioid overdose, but she won’t stop complaining of leg pain…











Initial Vitals:











Temp: 98











BP: 120/80











HR: 89











RR: 20











O2 Sat: 100%











Critical Actions:














* Treat patient’s pain without NSAIDs (history of solitary kidney)











* Assess patient’s leg pain beyond the point of just fracture vs. no fracture











* Recognize the signs and symptoms of compartment syndrome











* Get orthopedic surgery to bedside emergently for fasciotomy











* Recognize and treat rhabdomyolysis