Traumatic Cactus Injury How would you approach this at point of injury? Could there be a pneumothorax, hemthorax, great vessel injury, small bowel or hollow viscous organ injury? Diaphragm or nerve injury? Foreign bodies? PAIN CONTROL: This will be a unique issue and consideration. Local is likely NOT the best approach. Would you use ketamine, fentanly, narcotics, regional nerve blocks? What about conscious sedation with ketamine +/- propofol. Would mixing different agents be appropriate? Would general anesthesia and OR time be appropriate or not? the_resuscitationist @the_resuscitationist #Cactus #Injury #trauma #clinical #video
