Pain, Minors & Painful Limbs [Case #3]

“A 14 year old boy sustained an injury to his right hip whilst playing rugby. Since the injury he has complained of a very painful hip and an inability to weight bear.”

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In conjunction with the orthopaedic team you decide to attempt reduction under ketamine sedation in the Emergency Department.

1. State 5 contraindications to ketamine sedation

2. What equipment will you need for the procedural sedation?

3. What dose of ketamine will you administer and via which route?

4. What advice can you give to him and his parents to help the sedation process go smoothly?

5. What will you explain to them during the consent process?

6. His parents ask how long he will have to stay in hospital after the procedure. What will you tell them?

7. What post-discharge advice will you give them?