A 30-year-old man working on a cattle station 400 km from the nearest base hospital sustains a closed mid-shaft femoral fracture after falling from a ...

Question

A 30-year-old man working on a cattle station 400 km from the nearest base hospital sustains a closed mid-shaft femoral fracture after falling from a horse. He is haemodynamically stable after initial management. Retrieval will take several hours. Which pain management strategy is most appropriate in this rural and remote context?

Accepted Answer

Intravenous opioids titrated with monitoring and consideration of regional nerve block by trained staff

Answer

No analgesia until arrival at hospital

Answer

Oral paracetamol only

Answer

High-dose NSAIDs only

Answer

Sedation without monitoring

au-amc MCQ (SBA): Analgesia in remote trauma