On February 8, Sue Fuchs wrote:
(snip) how long we are "tied up"
doing sedation with our protocol (a physician not involved
in the procedure giving sedation and monitoring the pt, and
a nurse as well, who can assist)... Fracture reductions
usually take 30-45 minutes. If the ED is too busy, we often
make ortho wait until the needed personnel are available-30
min or so, but give the patient some pain medication in the
Thanks Sue, this is great information to go to bat with for staffing
issues, particularly in view of what has become (for the ortho squad
and children) a valued specialty skill in the ED.
Do you stay in the patient's treatment room 100% of the time during this
30-45 minutes? Or do you titrate in the drug, get a satisfactory response,
wait for the expected peak effects to wain, then become more available.
How long does the ortho squad (and patient) wait on a busy shift for
these reduction? Do some patients not get the cadillac because of staffing
Emergency Medicine and Pediatrics
SUNY Health Science Center at Syracuse