All traumas considered Full stomachs?
Pt presents to the ER with trauma to left arm with multiple foreign bodies, swollen and appeared to be in infected. He told the CRNA he wanted a local and wanted to stay awake during the procedure.
What would you do?
Say ok and give him a local anesthetic?
Not in the pt's best interest for a LA and give him GA with RSI?
Beir Block with nessicaine?
This was a test question and I would like to see what you guys wold do in RL. I thought it would be ok to give the local. Most of my classmates said to give GA with RSI b/c he is a trauma and onsidered a full stomach, and therefore should be a RSI.
The nice part about being a pessimist is that you are constantly being either proven right or pleasantly surprised.
- George F. Will
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