Hi all....
yes, we have all at some stage seen / done reduction techniques that
require little in the way of analgesia or sedation. But the simple fact
remains these patients:
present in severe pain
usually require an x-ray to confirm the diagnosis and to exclude occult #
This takes time
Titrated IV analgesia is most effective at quickly controlling their pain
Not all patients will tolerate analgesia / sedation free reduction
and finally
most reduction techniques have success rates of the order of 70-90% in
experienced hands.
So, there are *always* going to be patients who require sedation /
analgesia / amnesia. To simply write off the whole topic of in department
sedation on account of one technique for shoulder reduction is invalid.
Kind regards
Paul Bailey MB BS FACEM
Western Australia
> You don't need anything to reduce shoulders. I was taught a superb
technique by Adrian's mate Phil Belsham that
> needs no analgesia or sedation.
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
> http://www.emergencyunit.com
>
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