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It is 01.00am and a 30-year-old male presents to the ED after falling over whilst intoxicated with alcohol. He has dislocated the proximal inter-phalangeal joint of his right index finger. The dislocation is grossly displaced and he is very distressed. He is requesting that he be ‘knocked out’ to have it relocated as a previous nail bed repair performed under digital nerve block was very painful.
The senior ED staff are occupied with a major trauma patient who has just arrived in the resuscitation room.
List three reasons why intravenous sedation may not be suitable for this patient.
Which answer best describes the most appropriate immediate management?
