Your patient is a 30-year-old machinist who had his right hand caught in a press. Upon extrication, there is no evidence of significant trauma. You should:
A) splint the hand in the position found, elevate above the heart, apply ice.
B) splint in position of function, start an IV of normal saline, consider morphine for analgesia.
C) wrap the hand in a bulky dressing held in place by an elastic bandage.
D) apply oxygen by nonrebreather, splint using a sling and swath, insert a large-bore IV of lactated Ringer's.

Question

Quizplus · Accepted Answer

In cases of hand injuries, it is important to splint in the position of function to avoid further damage and promote healing. Starting an IV of normal saline is important to maintain hydration and consider morphine as an analgesic since hand injuries are often extremely painful. There is no indication to elevate above the heart or apply ice as there is no significant trauma evident. Wrapping the hand in a bulky dressing is also not recommended as it may cause further damage, and there is no need to insert a large-bore IV of lactated Ringer's unless there are signs of significant bleeding or shock. Finally, applying oxygen by non-rebreather is also not necessary unless there are signs of respiratory distress.

Your Patient Is a 30-Year-Old Machinist Who Had His Right