Hospital and Telephone Triage

91 videos, 4 hours and 28 minutes

Course Content

Debrief - Minor arm injury

Video 61 of 91
1 min 56 sec
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So this patient presented with an injury of their arm, injury of their shoulder, it is an injury of an upper limb. You will notice that I was trying to triage the patient quicker than I normally do triage, so and in doing so, I attempted to place the cuff on the injured arm. And you will notice in the other videos that the blood pressure cuff is placed on an arm, but before placing the cuff, it is always wise to ask, is it okay to use this arm. For some patients if they have got a, had any lymph node problem, or if they have a fistula in that limb, then it is good to use the other limb. It is important to remember when triaging patients and triaging patients quickly is to always put the patient first and not the needs of the department.

Also with this patient with a minor injury, she had fallen over, it is important to establish whether she fainted or she did have a trip and fell over and injured herself. That is an important distinction to make. Another important assessment to make is that there is no neurovascular deficit distal to the injury, always check pulses, always check sensation. And most importantly, with this patient, I did not remove the ring from the finger, that could have caused a problem for the patient. Always remove rings from the finger from the limb that has been affected by the injury. Unless there has been a major deformity or a compound fracture or some neurovascular deficit, these patients need a sling or some kind of supportive measure, supportive measure and adequate analgesia while they wait.