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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. Maybe you have your own views to share? Click here for more.
This year Dr Neil Cunningham gave a talk at the International Conference in Emergency Medicine, held in Dublin, Ireland. The talk was successful and well received, and the powerpoint presentation and talk are available on our Videos page, or on our Youtube channel. Unfortunately, the popularity led our hosting service to believe we had a virus and they shut the Shoulder Dislocation.net website down! After several months, we are pleased to report we are back up and running on a new dedicated server, thanks to Mike Cadogan and the team at Global Medical Education Project (GMEP). Anyway, we hope you enjoy the talk and presentation and look forward to the next year full of exciting updates.Read story
ShoulderDislocation.net has posted two new videos on our YouTube channel and Videos page. These videos are quite a bit different from the others - in that things didn't quite go as smoothly as we would have hoped. In both of these shoulder dislocations the relocation was proving to be a little difficult and might prompt abandonment of the techniques in favour of heavier sedation. The first video shows a patient with in whom the muscle spasm was unable to be overcome with simple positioning and a variety of manoeuvres. She eventually required sedation resulting an a quick reduction In the second video, the patient has a subglenoid dislocation, and the operator tries to get the patient to adduct the arm. Unfortunately this is difficult, so Neil talks the operator through a series of manoeuvres to manipulate the humerus into the correct position, including attempting Zero Position. Eventually the shoulder is relocated.Read story