Prioritisation 2

You have 10 minutes for the following scenario 

Scenario

You are the ST3 working the night shift at a DGH and have been asked to organise the theatre list for the following day. You have one theatre (half day) with a consultant present supervising an ST3.

Patients

 

Patient

Details

1

90F dislocated Right hip

2

88M L extracapsular NOF #

3

22M IVDU with an abscess in the right groin.

4

38M R displaced intracapsular NOF #

5

40F dislocated L shoulder

 

X-Ray available: all day

Consultant sub-speciality: Shoulder

No capacity for other theatre lists tomorrow

Patients have G+S

Patient

Details

 

1

90F dislocated Right hip

Attempted reduction in ED

NV intact

Consultant not happy to proceed

2

88M L extracapsular NOF #

Admitted 30 min ago

Hb 70

ECG, CXR pending

 

3

22M IVDU with an abscess in the right groin.

No USS

Septic T38.9, HR 100,

BC: Staph aureus

Sepsis 6

4

38M R displaced intracapsular NOF #

Admitted 4 hours ago

Isolated injury

Closed

NV intact

Nil PMH

5

40F dislocated L shoulder

Anterior

2 hours out of joint

No humeral fracture

Weakness of hand, tingling over axillary nerve.

A+E have no capacity to sedate

 

Patient

Details

 

5

40F dislocated L shoulder

To be done CEPOD this evening

4

38M R displaced intracapsular NOF #

1st

2

88M L extracapsular NOF #

2nd

1

90F dislocated Right hip

Consultant not happy wait for arthroplasty surgeon

3

22M IVDU with an abscess in the right groin.

Requires USS