Palmo Anest

Rib # with pneumothorax in GP clinic
I have a 14y.o. with h/o fall 2/7 ago while break-dancing presented to a GP clinic with increase SOB, pain over left chest.

O/E, Alert, pink. Tachypnoea+, Tender over Left upper chest and limited left shoulder movements. A/E still equal. BP 130/80mmHg. PR 88bpm.

I explained to pt & parties, written a referal & actually called A&E S/T the MA i.c., however the pt left with family to GH themselves.

What would you guys do? Ask them to wait for ambulance or let them go by themselves?

posted by LT @ 10:37 PM