Distal humeral fracture as a result of a road traffic accident
A case study and nursing care analysis
DOI: https:// doi. org / 10.56496 / NCBN4971
Ellen Riley, RVN
ENVELOPE ellen. riley @ wear-referrals. co. uk
Ellen is an out-of-hours RVN at Wear Referrals in Durham. She started her career at a primary care practice but developed an interest in emergency veterinary medicine and made the decision to refine her skills in the referral sector. She has a German shepherd dog called Yogi and enjoys hiking in the Lake District with him.
ABSTRACT This case study and nursing care analysis describes the monitoring and initial care of a dog with a fractured distal humerus, with no complications, which resulted from a road traffic accident.
The patient initially presented to the out-ofhours emergency and critical care team and then was referred to the orthopaedics team following assessment. The case required surgical intervention, with the patient hospitalised pre- and postoperatively for observations and care.
The veterinary nurses involved in the patient ' s care not only monitored the patient ' s comfort and mentation post-surgery, but also liaised with the veterinary surgeons and anaesthesia team to ensure that the patient ' s analgesia was correctly monitored and the patient was recovering well.
The report highlights the role of the veterinary nursing team, and the key aspects of nursing required when caring for a patient that has sustained vehicular trauma. Multiple disciplines were involved in the care of the patient, illustrating the importance of a multidisciplinary team.
The case emphasises the significance of continuous nursing surveillance and timely interventions in achieving positive clinical outcomes. The outcomes of this case can contribute to the refinement of care strategies for canine patients admitted with similar trauma, thereby supporting the advancement of veterinary nursing practice.
Keywords road traffic accident, patient monitoring, distal humeral fracture, orthopaedic surgery, surgical intervention
38 Veterinary Nursing Journal