When a fracture patient comes to the first aid clinic writhing in pain, is he given a pain shot immediately?

Question

I am trying to understand a medical procedure.

My friend recently broke his lower leg after falling from a train and was immediately taken to a rural small clinic nearby.

When I reached there after about 1/2 hour of the incident he was not writing in pain, but I was told that when he was brought there he was shrieking. His outer wounds were minimal and were dressed. But he would shriek if anyone touched his leg.

The nurse gave him a butt shot of pain killer 15 minutes after I reached there.

I now wonder if the nurse had given one shot of pain killer earlier (as soon as he arrived), because otherwise how come my friend was not writhing in pain. But his pants were still on and the belt was tight when I reached there (which had to be opened to give the shot), so it seems he had not been given that shot earlier.

What is the normal practise in India for giving first aid to fracture victims?

Do you think he would have received the shot earlier too? and his belt tightened back on?

It was a small clinic run by nurses with no doctors in it. My friend was the only patient there.

Answer 1

Pain medications need to be delayed while certain assessments are made. Pain medication will be given as soon as possible but not usually immediately.

Answer 2

Nooooo! They are too busy checking everybody to see whose worse. Also, they don't do it until the Doctor comes' in, and orders' it. He was realizing that he was in the right place, and the leg was going to be cared for to make it better, so he calmed down, and not moving helps' the pain, too. Also, slight shock makes' it not hurt until that wears off. I worked at an Alzheimer's unit. I was standing next to this lady after picking out her clothes and supervising her to get dressed; making the bed, with my back to her at the bedside, when this sweet little woman twisted around to face the window. I heard her hip crack, and then she immediately fell down and I heard the thump as she broke it some more from the fall to the floor. That was 8:30 A.M.- I stayed with her, trying to make her comfortable, with pillows and ice and hand-holding, while the nurse stayed at the station, only allowing me to give her two doses of tylenol until the paramedics came 4 hours later! She didn't want to do something contra-indicated, but there was no excuse to let her suffer that long, by not calling 911 instead of the front office.. People think that alzheimers patients don't feel pain as others do???? She could have gone into shock from this major injury and due to the paaaiiiinnnnn! It was so stressful! Old times, hip fracture was a death sentence, because they couldn't fix it, etc. and when people just lie there, they die real fast in the coming week or two.
People in India need to be lucky enough to afford a hospital which hopefully is nearby. Broken legs cost upwards of $20,000.00 to treat in a hospital setting- and need to be fixed right away to prevent gangrene and blood loss, infection in some cases and disfigurement and loss of use of the limb it needs to be set and/or immobilized and treat for possible shock too.

Answer 3

a painkiller doesnt need to be injected in his butt. Thats simply a convenient place for an injection that should go into muscle .

They could have given him a pill or an injection into an arm or leg.

They must have done something with his pants in order to dress the wounds.

Answer 4

this seems like a compicated question for a simple procedure Just ask your friend.

It is possible they started an iv and gave him a pain med that way

Or are you a druggie trying to figure out how to get pain med before they take an xray to see if you really broke a bone