ISOBAR

Introduction: - 32 - Female Situation: - Patient presents with a laceration to the left forearm after falling on broken glass. - The laceration occurred approximately 30 minutes prior to presentation. It is located on the volar aspect of the left forearm, approximately 5cm in length and 1cm deep. The patient reports significant pain, described as a sharp, throbbing sensation, rated 7/10. There is active bleeding. - Applying direct pressure to the wound has slightly reduced the bleeding. - No change in symptoms since the injury occurred. - No previous similar injuries. - The injury is affecting the patient's ability to use their left arm. - No other associated symptoms. Background: - No significant past medical history. No known allergies. Tetanus vaccination status unknown. - Patient is a non-smoker and denies alcohol or drug use. Works as a software engineer. - No family history of bleeding disorders. - No known exposures. - Immunization history unknown. - Other: Patient is anxious about the injury. Assessment: - BP: 130/80 mmHg, HR: 100 bpm, RR: 18, SpO2: 98% on room air, Temp: 37.1°C. - Examination of the left forearm reveals a 5cm laceration with active bleeding. Neurovascular status is intact distally. No signs of infection. - None. Recommendation: [1. Laceration to left forearm] - Laceration - None - X-ray of the left forearm to rule out fracture. - Wound irrigation, exploration, and suturing. Administer tetanus toxoid. Provide analgesia. - Refer to plastic surgery if the wound requires further intervention. [2. Anxiety] - Anxiety - None - None - Provide reassurance and emotional support. - None