Author: Sobia Akhtar / Editor: Steve Corry-Bass / Reviewer: Emer Kidney / Codes: PhC1, PhC4, PhP1, RP7, SLO3 / Published: 08/08/2022
A 65-year-old man with a background of osteoarthritis presents to the Emergency Department with left hip pain following a fall. He has pelvic and left hip x-rays which confirm a left neck of femur fracture. A fascia iliaca block with bupivacaine is performed, using the landmark technique. Five minutes later the healthcare assistant approaches you to inform you that they have checked the patient’s observations:
BP: 85/50
HR: 50
SpO2: 97% room air
RR: 9
You proceed to review the patient and note he looks unwell. He is now confused with a GCS of 13 (E4, V4, M5). You transfer the patient to Resus for further assessment and management.
6 responses
Interesting case about a very scary scenario
Good
nice
very nice topic
Good reminder
Great Revision