Highlights
Jason is 17 year old male
S: Presented to the accident and emergency department after a motor vehicle accident (MVA). An X-ray confirmed a fractured right (R) tibia and broken ribs. He also has concussion from a head injury sustained in the MVA.
B: Jason has no significant medical or surgical history. He has an allergy to Morphine.
Social History (SHx):
A: Jason is 88kg and 172cm in height. Current vital signs Resp 28, O 2 Sats 97% on room air (RA), BP 130/85,HR 110, Temp 37, and pain 6/10.
R: Jason is scheduled to have surgery to repair his fractured tibia, an open reduction and internal fixation(ORIF). He needs to be prepared for surgery planned this afternoon.
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