latest edition of Emergency Medicine Journal - called the SPASO technique
after the person who first described it. i've tried it on three different
patients and it didn't work. A couple of years back, Aiden Gleeson wrote a
paper in JAEM (as it was then) and proposed that different techniques worked
with specific types of anterior dislocation. i don't know what any one else's
experience is but i have found that there is no practical correlation - some
people slip back with Milch whilst others with the same type of ant
dislocation go back with another technique. and of course, in the middle of
the night when you've been dragged from your on-call bed (if you've got
there...ahhhh!) it's always the last variation attempted!
Andy
>===== Original Message From Accident and Emergency Academic List
<[log in to unmask]> =====
>can you please tell me the name of the journal which describes the
method?thanks!
>dr. tudor codreanu
>staff grade a&e
>elgin
>(new on the list and the job)
>
>> ----------
>> From: Adrian Kerner[SMTP:[log in to unmask]]
>> Reply To: Accident and Emergency Academic List
>> Sent: 15 October 2001 23:09
>> To: [log in to unmask]
>> Subject: Re: Flumazenil, Sedation and Fits
>>
>>
>> I agree with Andy as regard shoulder dislocations. I rarely use
>> Midazolamand teach that this is poison!! I get most shoulders back with
>> verbatim and
>> entonox and sometimes morphine(If this fails I scratch my head). Have you
>> tried that method described in the recent journal, forgot the name but an
>> upside down hanging arm jobby with external rotation!!! First time for me,
>> worked a treat - patient said - 'What, that's it !' - sure enough - back
>> in
>> place! Morphine prior to Xray then Entonox. Problem arises when I scratch
>> my
>> head!!
>>
>> Adrian Kerner
>> Dewsbury
>>
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