Role of Prophylactic Metoclopramide With Tramadol in Trauma Patients

Inclusion Criteria: * Patients aged 18 years or older on day of presentation to ETD SGH * Sustained from traumatic injuries of extremities (Fracture of hand \& wrist, radius, ulna, humerus, femur, tibia, fibula and/or foot \& ankle; laceration wounds of extremities; soft tissue injury) * Patient who is able to give consent Exclusion Criteria: * Known allergy to metoclopramide * Concurrently taking medication with anti-emetic effect, including antihistamines, phenothiazines and dopamine antagonists. * A history of vomiting since time of injury * Patients who had already received tramadol or metoclopramide in the previous 8 hours prior to arrival at ETD * Below age of 18 on day of presentation, or patients who could not consent to the study * Any alteration in level of consciousness * Hemodynamic instability or primary diagnosis requiring time critical intervention * Pregnancy or lactation * History or known case of vertiginous disorder * Currently undergoing chemotherapy or radiotherapy