I'm with ya sister. Think about how that kid is gonna be the next time he/she has to go to ER, docs office whatever? No offense, but pt is gonna fight.
The swelling (majority of it) must have come from the repeated unsuccessful manipulation. Elbow fx's and dc's usually do not swell that much. Poor kid. :angryfire
Sorry you had to be the one to witness it. I worked as an ortho first assist for a few yrs and that would never have happened with the group I worked with. I am sorry it happened at all. Was it reduced at all by the time pt was transported? Did the swelling get bad enough that DNV's were comprimised? Out of all of the docs that I have come across in my yrs, orthos can sometimes be the worst. (and sometimes kind of weird) Example of the weird? The group I was 1st assist for, barked, barked barked and occasionally bit. I used to be so timid around them. One day after 5 back to back very long surgeries, I got barked at for nothing and finally bit back. 4 surgeries later when our shift was over, they took me out for shots of tequila for "finally growing a spine". Now, I did drink their money, but still called em all names in my head-still do.
Quote from srichards
By the time patient was trasnfered our facility 5hrs had passed MSO4 had been given 3x a cloth splint applied and no ice was applied. The elbow was grossly swollen and deformed. Drugs were given to induce conscious sedation and the 3hr reduction began. I think this kiddo should have been taken directly to the OR.