Treatment Planning

 Case Snippet 

A patient is hospitalized following a motor vehicle accident in which he sustained a number of broken ribs, a fractured scapula and humerus requiring surgical repair. The patient has no medical comorbidities.

   

What would be a rational multimodal treatment plan for this patient?

a. application of cold
b. regional analgesia provided through an epidural catheter
c. a non-steroidal anti-inflammatory drug
d. systemic opioid analgesics
e. a and d
f. all of the above