Ultrasound Case #14 – You’re pain in my… hip

A 72 year old female with previous history of COPD and osteoporosis presents via EMS to the EC with complaints of severe left hip pain after sustaining a witnessed fall outside of home. She tells you she was trying to get the newspaper when she slipped on her icy porch and fell onto her left side. She denies any head trauma or loss of consciousness and is not on any oral anticoagulation at home. She just complains of severe hip pain. She is vitally stable, fully alert and oriented. On physical examination her left lower extremity appears deformed, externally rotated, and shorter when compared to the right. When addressing pain control with her, she reports that opioid medications “have never agreed with me” and have caused issues with breathing in the past.

What can you offer this patient for more direct, longer-acting pain control in this setting?

Ultrasound Case #14 – You’re pain in my… hip

A 72 year old female with previous history of COPD and osteoporosis presents via EMS to the EC with complaints of severe left hip pain after sustaining a witnessed fall outside of home. She tells you she was trying to get the newspaper when she slipped on her icy porch and fell onto her left side. She denies any head trauma or loss of consciousness and is not on any oral anticoagulation at home. She just complains of severe hip pain. She is vitally stable, fully alert and oriented. On physical examination her left lower extremity appears deformed, externally rotated, and shorter when compared to the right. When addressing pain control with her, she reports that opioid medications “have never agreed with me” and have caused issues with breathing in the past.

What can you offer this patient for more direct, longer-acting pain control in this setting?

Ultrasound Case #14 – You’re pain in my… hip

A 72 year old female with previous history of COPD and osteoporosis presents via EMS to the EC with complaints of severe left hip pain after sustaining a witnessed fall outside of home. She tells you she was trying to get the newspaper when she slipped on her icy porch and fell onto her left side. She denies any head trauma or loss of consciousness and is not on any oral anticoagulation at home. She just complains of severe hip pain. She is vitally stable, fully alert and oriented. On physical examination her left lower extremity appears deformed, externally rotated, and shorter when compared to the right. When addressing pain control with her, she reports that opioid medications “have never agreed with me” and have caused issues with breathing in the past.

What can you offer this patient for more direct, longer-acting pain control in this setting?