Pulse less hand in ED

Young boy, accident with slipped fall during skiing. Very marked swollen elbow, very painful. On examination, absent peripheral pulses, numbness cold and clammy. At emergency department, what is your next step of management?

Correct! Wrong!

This is a scenario of pulse less hand in ed and most common situation based on the case given is a displaced supracondylar fracture. Most important is to save the limb as a cold clammy and pulseless limb is a very urgent situation. Ulnar decompression is not required reduction only in theatre refer to ot is the correct answer because u need to get the ot organised without wasting time analegesic can be given after referring to ot xray not required and can be done in ot

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