Reduction of Acute Shoulder Dislocations in a Remote Environment: A Prospective Multicenter Observational Study Therezia Bokor-Billmann, MD, Hryhoryi.

Slides:

Advertisements

Similar presentations

Students Experience Self-Esteem Improvement During Mountaineering

Advertisements

Sarah Barker, MD, Nathan P. Charlton, MD, Christopher P. Holstege, MD

Morteza Khodaee, MD, MPH, David R. Torres, MD

Jessica L. Weiland, MD, Leighanne K. Sherrow, MS-IV, Deepak A

Students Experience Self-Esteem Improvement During Mountaineering

An Assessment of Coliform Bacteria in Water Sources Near Appalachian Trail Shelters Within the Great Smoky Mountains National Park Brian C. Reed, MD,

Injury and Illness Encountered in Shenandoah National Park

Acute Injury Risk and Severity in Indoor Climbing—A Prospective Analysis of 515,337 Indoor Climbing Wall Visits in 5 Years Volker R. Schöffl, MD, PhD,

Tough Beginnings on Galapagos, Baby Blue Footed Booby

Avalanche Survival After Rescue With the RECCO Rescue System: A Case Report Katharina Grasegger, Giacomo Strapazzon, MD, PhD, Emily Procter, MSc, Hermann.

Ian Greatbatch, PhD, Rebecca J. Gosling, PhD, Sophie Allen, BS

Complete Spinal Accessory Nerve Palsy From Carrying Climbing Gear

Wilderness Communications

Effective Tick Removal With a Fishing Line Knot

Colin Powell, BSc (tech) FHEA Wilderness & Environmental Medicine

Novel Use of a Hemostatic Dressing in the Management of a Bleeding Leech Bite: A Case Report and Review of the Literature Preston J. Fedor, MD Wilderness.

Bruno Ernst Durrer, MD: January 14, 1953 to December 5, 2016

Colorful Mushroom Ingestion

Dental Extractions Using Improvised Equipment

Functional and Sports-Specific Outcome After Surgical Repair of Rotator Cuff Tears in Rock Climbers Michael Simon, MD, Dominik Popp, MD, Christoph Lutter,

Gordon G. Giesbrecht, PhD Wilderness & Environmental Medicine

Timothy J. McCue, MD, Clare E. Guse, MS, Rania L. Dempsey, MD, MS

Symptoms and Treatment of Acute Conjunctivitis Caused by Skin Secretions of Veined Tree Frog (Trachycephalus Venulosus) Levente Tanacs, MD, Etienne Littlefair,

“Ice Axe Wrist”: A Case Report of Intersection Syndrome in 2 Climbers

A Pilot Study of Solar Water Disinfection in the Wilderness Setting

Calotropis gigantea Wilderness & Environmental Medicine

Orbital Subperiosteal Hematoma From Scuba Diving

The “Newbie” Syndrome Wilderness & Environmental Medicine

A Pain in the Neck Wilderness & Environmental Medicine

Two Cases of Acute Kidney Injury Due to Multiple Wasp Stings

Gender Differences Among Long-Distance Backpackers: A Prospective Study of Women Appalachian Trail Backpackers David R. Boulware, MD Wilderness & Environmental.

An Analysis of Sea Kayaking Incidents in New Zealand 1992–2005

A Case Study: What Doses of Amanita phalloides and Amatoxins Are Lethal to Humans? Ismail Yilmaz, MD, PhD, Fatih Ermis, MD, Ilgaz Akata, PhD, Ertugrul.

Chemical Oxygen Generation: Evaluation of the Green Dot Systems, Inc Portable, Nonpressurized emOx Device Neal W. Pollock, PhD, Michael J. Natoli, MS

Black Widow Spider Envenomation, A Rare Cause of Horner's Syndrome

Daniel A. Lack, PhD, Alison L. Sheets, MD, Jacob M. Entin, BA, David C

How Not to Train Your Dragon: A Case of a Komodo Dragon Bite

Forrest C. Wells, BS, Craig R. Warden, MD, MPH, MS

Symptomatic Hypotonic Hyponatremia Presenting at High Altitude

Dental Extractions Using Improvised Equipment

Tribute to Jonna Barry Wilderness & Environmental Medicine

Painful Sting After Exposure to Dendrocnide sp: Two Case Reports

M. Josephine Hessert, DO, MPH, Brad L. Bennett, PhD, MA, EMT-P

Sildenafil and Bosentan Improve Arterial Oxygenation During Acute Hypoxic Exercise: A Controlled Laboratory Trial I. Mark Olfert, PhD, Alexander Loeckinger,

Nikica Šprem, PhD, Petar Škavić, MD, Ivan Krupec, Ivica Budor, MS

Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test Ian Quigley, MBBS, Ken Zafren, MD Wilderness.

Sailing Injury and Illness: Results of an Online Survey

HEMS in Alpine Rescue for Pediatric Emergencies

Nairobi Fly (Paederus) Dermatitis in South Sudan: A Case Report

Adverse Encounters With Alligators in the United States: An Update

Safety and Efficacy of Attempts to Reduce Shoulder Dislocations by Non-medical Personnel in the Wilderness Setting Jack Ditty, MD, Dugald Chisholm, MD,

Gregory D. Richardson, MD, Susanne J. Spano, MD

Douglas McGraw, Stephen J. Gluckman, MD

Cougar Attacks on Humans: A Case Report

Electrocardiographic Responses to Deer Hunting in Men and Women

Significant Traumatic Intracranial Hemorrhage in the Setting of Massive Bee Venom– Induced Coagulopathy: A Case Report Kelsey Stack, DO, Lindsey Pryor,

Palsy in the Desert Wilderness & Environmental Medicine

Dr. Emmanuel Cauchy (1960−2018)—Reflections from Around the World

The Epidemiology of Caving Injuries in the United States

Shannon E. Essler, MD, Maneesha Julakanti, Andrew L. Juergens, MD

Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? That Is the Question Harriet Runcie, MB ChB, Mike Greene, FRCS, FCEM

Wolf Spider Envenomation

Patient attitudes toward issues of environmental health

Gordon G. Giesbrecht, PhD Wilderness & Environmental Medicine

Alison Sheets, MD, Dale Wang, MD, Spencer Logan, Dale Atkins

Health of High Altitude Pilgrims: A Neglected Topic

Health of High Altitude Pilgrims: A Neglected Topic

Adam M. Anderson, MD, John M. Leisey, MD

Comparing Student Outcomes of Hybrid and Conventional Wilderness Emergency Medical Technician Programs Joshua D. Martin, DNP, WEMT-P Wilderness & Environmental.

Morteza Khodaee, MD, MPH, Jill Tirabassi, MD

Presentation transcript:

Reduction of Acute Shoulder Dislocations in a Remote Environment: A Prospective Multicenter Observational Study Therezia Bokor-Billmann, MD, Hryhoryi Lapshyn, MD, Erhard Kiffner, Prof MD, Matthias F. Goos, MD, Ulrich T. Hopt, Prof MD, Franck G. Billmann, MD, PhD Wilderness & Environmental Medicine Volume 26, Issue 3, Pages 395-400 (September 2015) DOI: 10.1016/j.wem.2014.12.027 Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 1 Diagram depicting the steps of our reduction procedure. (A) The practitioner holds the patient’s wrist with the left hand (in the case of a left shoulder dislocation) and the patient’s elbow with the right hand. (B) With the elbow in 90° of flexion, the glenohumeral joint is flexed forward to 90°. (C) While still in flexion, the glenohumeral joint is adducted until the elbow reaches the midline of the body; it is important to continue this movement until this landmark is completely reached. (D) Then, internal rotation of the shoulder is performed. During this step, the patient’s elbow must stay at the landmark described above. At 25° to 30° of rotation, a mild resistance is usually encountered. (E) The last step of the maneuver consists of applying a constant internal rotation pressure to overcome this mild resistance without pain. Reduction is usually achieved at approximately 30° of internal rotation. Wilderness & Environmental Medicine 2015 26, 395-400DOI: (10.1016/j.wem.2014.12.027) Copyright © 2015 Wilderness Medical Society Terms and Conditions