See the instructor in this video (Dr. Howard Donner) give presentations and teach a variety of hands-on workshops at the upcoming National CME Conference on Wilderness Medicine. All medical specialities are welcome! wilderness-medicine.com/cme-conferences/santa-fe/
It may go without saying that if ER care is to be provided in a timely fashion the untrained rescuer may choose to wait. For most people the longer the joint is out of place, the more long term or residual effects persist. Certainly if care is distant, won't occur for hours or days, then relocation, or at least an attempt to do so makes sense,. Many people experience enough pain which is relieved by relocation that the act of relocating is a blessing unto itself. Some people even faint due to the pain and during their relaxed state self-relocate, or do so with minimal effort on the part of the rescuer. The more common type as shown is anterior dislocation.
In prehospital care we are told never to reduce a dislocated joint out of fear that nerves or blood vessels may get caught in the joint. In the wilderness setting where it makes sense to reduce the dislocation (or if it happens spontaneously), what do you do if there's a loss of neurological function/circulation distal to the reduced joint? (Or is this even a valid concern?)
See the instructor in this video (Dr. Howard Donner) give presentations and teach a variety of hands-on workshops at the upcoming National CME Conference on Wilderness Medicine. All medical specialities are welcome! wilderness-medicine.com/cme-conferences/santa-fe/
This just saved me a multi thousand dollar ER visit. Thank you so much
EM Wilderness Medicine is absolutely what I want to do. Subscribed! Thank you!
It may go without saying that if ER care is to be provided in a timely fashion the untrained rescuer may choose to wait. For most people the longer the joint is out of place, the more long term or residual effects persist. Certainly if care is distant, won't occur for hours or days, then relocation, or at least an attempt to do so makes sense,. Many people experience enough pain which is relieved by relocation that the act of relocating is a blessing unto itself. Some people even faint due to the pain and during their relaxed state self-relocate, or do so with minimal effort on the part of the rescuer. The more common type as shown is anterior dislocation.
Glad you found it helpful- Thanks for the feedback!
Nice and easy! Could you make a video about wilderness first responder must have kit.
In prehospital care we are told never to reduce a dislocated joint out of fear that nerves or blood vessels may get caught in the joint. In the wilderness setting where it makes sense to reduce the dislocation (or if it happens spontaneously), what do you do if there's a loss of neurological function/circulation distal to the reduced joint? (Or is this even a valid concern?)
Thank you for addressing this in the Q&A! Just stumbled across that by accident. Very helpful feedback.
It would be nice if you explain about kocher's method....
Are relocation movements the same for an anterior and posterior dislocation? Thanks
I put mine back in myself by leaning over forward and to the side and moved my arm a little
4:08 😂
I managed to dislocate my shoulder in my sleep