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