Saturday, February 28, 2009
This XRay demonstrates a dislocation of a prosthetic hip. This is bad news for the patient as once you dislocate a prosthetic hip you are more likely to do it a second time, and a third, and may eventually need a 'redo' which often fails.
These things are a bear to get back in, but we have propofol and I can pull hard. I thought I had reduced this dislocation twice... felt a nice 'clunk' both times, but I missed. It was a hard thing to do to call in Orthopedics but I got over it.
The Ortho guy was ready to put the hip back in and wanted the propofol. Unfortunately he got the wrong answer from the wrong nurse, "The paperwork isn't done." I said, "Just give it to me and let's do the paperwork later", but it was to no avail. Ortho-guy, with the patient's permission, torqued on that poor man and got the thing back in right as the nurse was walking through the door with the propofol and five sheets of conscious sedation paperwork.
"Oh? It's done?"
Yes dear, it's done. The patient was very appreciative in spite of the lack of sedation with the last yank, bless him. Never underestimate the power of people with protocols, it allows one to turn of the common sense part of the brain and do things that are annoying if not dangerous. Oh, and there's lots more of it coming.
Posted by 911DOC at Saturday, February 28, 2009