5. PRIMARY SURVEY
▸ A : can speak, patent airway, not tender along C-spine
▸ B : equal breath sound, chest compression negative
▸ C : BP 164/192 mmHg, PR 72 bpm, no external bleeding
▸ D : E4V5M6, pupil 3 mm RTLBE
▸ E : Left elbow tenderness, swelling, deformity
7. SECONDARY SURVEY-TAKING HISTORE
▸ A : no drug allergy
▸ M : no current medication
▸ P : no underlying disease
▸ L : 4 ชั่วโมง PTA (23.00 น.)
▸ E : ลื่นล้มแขนซ้ายกระแทกพื้นปูน
8. SECONDARY SURVEY-PHYSICAL EXAMINATION
▸ Head & maxillofacial : no wound, noactive bleeding, no
facial deformity
▸ Cervical spine and neck : no wound, not tender along C-
spine, can flex neck
▸ Chest : no wound, equal breath sound, CCT negative
▸ Abdomen : soft, not tender, PCT negative
▸ Perineum : no wound, no ecchymosis
9. SECONDARY SURVEY-PHYSICAL EXAMINATION
▸ Musculoskeletal : left elbow swelling, deformity, tender,
limit ROM, loss of isosceles triangle, neurovascular intact,
cap.refil<2 sec, radial pulse 2+
▸ Neurologic : E4V5M6, pupil 3 mm RTLBE, motor power
gr.V all, sensory intact
16. EPIDEMIOLOGY
▸ Most common major joint dislocation second to the
shoulder
▸ Posterolateral is most common type of dislocation
▸ Account for 10-25% of injuries to elbow
▸ Predominantly between age 10-20 years old
22. TREATMENT ( NONSURGICAL)
▸ Indication : simple dislocation
▸ Sedative and pain medication
▸ reduction and splinting at 90ํ for 7-10 day, as soon as
possible
▸ Early motion exercise
