Jump to content

Dislocated shoulder: what to do when the usual position hurts?


Recommended Posts

  • Replies 35
  • Created
  • Last Reply

Top Posters In This Topic

Top Posters In This Topic

Popular Posts

The second picture is probably the best way to sling a dislocated shoulder. That is what I know as the neutral position for the shoulder or the position of use. How often do we have our forearms lay

For a dislocated shoulder? With proper pain control and sedation, I've had a zero failure rate. Next time it happens to you, give me a call and I'll make sure it goes back in. It should be a piece

I think that self splinting here is perfectly acceptable. Just let them hold it where it feels best and adjust when necessary giving them a pillow for support if needed, which it probably will be.

This is maybe not the best option for all, as many will feel uncared for if you explain for them to hold it where it feels best, but when I was greener I had a couple of people ask me if they 'could just hold it' while I was trying to do all of the things I'd been taught in school and I thought, "Hmmm...why isn't that just as good, or maybe better?"

Link to post
Share on other sites

Either a pillow between the arm and the body, or a nicely folded blanket or two. This helps keep the extremity in a 'position of function' as well as cushion it from bumps and jars incurred during transport.

Another consideration would be that we shouldn't be 'stingy' with pain management techniques, as letting our patient suffer simply because we don't agree that their 'owie' hurts as much as they say it does; is abusive and inexcusable...

Link to post
Share on other sites

In any fx/dislocation, I'd say let the pt put it in the position of most comfort as long as it doesn't compromise blood flow. Lot's of pain medicine.

Link to post
Share on other sites

In any fx/dislocation, I'd say let the pt put it in the position of most comfort as long as it doesn't compromise blood flow. Lot's of pain medicine.

*Kiwi rummages around in the hip pouch

40mg of morphine

200mcg of fentanyl

400mg of ketamine

Could any of those be helpful at all? I dno I was never very good at this medical stuff ....

Edited by Kiwiology
Link to post
Share on other sites

Always position of comfort for a dislocation, which means most ready-made splints probably won't work. It sometimes calls for creative splinting and the filling of voids, but pain management is key since we do not reduce in the field unless there is vascular compromise (never seen that happen with a dislocation). I've accidentally reduced a dislocated knee once. Attempting to make the patient comfortable and applying a splint, I think the patient had a muscle spasm and suddenly went from agony to screaming OH MY GOD, and let out a huge sigh- he was damn near orgasmic. LOL Scared the crap out of me. After undoing all my splinting handiwork, I saw the patella had indeed returned to it's normal position.

Please see the related topic on dislocated patella .

Link to post
Share on other sites

×
×
  • Create New...