News
Posted on December 1, 2011
December 2011 – Neil Cunningham talks to EM-RAPs Scott Weingard
This month, Neil Cunningham talks to Scott Weingart from EM-RAP about shoulder dislocation and the various methods of achieving relocation. The podcast is available for subscribers to EM-RAP. Neil focuses particularly on non-analgesic relocation methods, analgesic positioning, and talks about the recent translation of Kocher's method.
Posted on November 1, 2011
November 2011 – Should I relocate a shoulder in the field?
Have you ever been at a footy or rugby match, or on a skifield and seen someone with a dislocated shoulder? Ever wondered whether it is worth trying to relocate the shoulder "in-the-field", before xrays, analgesia or transfer to a hospital? Have you thought it might be better for the patient if they got their shoulder in sooner rather than later? This month Gerard Fennessy shares his experiences on a skifield, dealing with in-the-field dislocations. He talks about sedation and analgesia in remote locations, as well as the use of non-traction/countertraction techniques to make the relocation safer for the patient.
Posted on October 1, 2011
October 2011 – Analgesic Positions
Have you ever thought that there must be a perfect position for your patient with a dislocated shoulder? Well, usually there is (and I don't mean "relocated', although apparently that is a pretty good position!). When your patient comes in with a dislocated shoulder, there are several things you can do to give them immediate pain relief. And we are not necessarily talking about morphine or propofol! This month we look at analgesic positions for your patient - ones that provide near immediate relief of pain, before you can shout "Get a drip in!".
Posted on September 1, 2011
September 2011: Patient heal thyself! Teaching patients to reduce their own shoulders.
Have you ever wanted to teach your patients how to relocate thier own shoulders? Well now you can! The Boss-Holzach-Matter technique is an autoreduction technique that you can teach your patient to do, directly in the Emergency Department. This simple-to-teach technique also has a patient handout that you can print out.

