Adrian,
Arm held at 90o perpendicular to the body, and externally rotated. Named after the man who developed it in Melbourne. Started using it last year. Currently at 17/17 with light sedation and analgesia - but that of course is anecdote.
cheers
Craig
>>> [log in to unmask] 10/17/01 12:22 >>>
Simon...confused...I've read the abstract but still confused. What on earth
is the SPASO technique?
Adrian Fogarty
----- Original Message -----
From: "s.carley"
Subject: Re: Flumazenil, Sedation and Fits
> SPASO technique was described in the journal, see below. It is not a
> fantastically designed study but is interesting nonetheless.
>
> An easy method to reduce anterior shoulder dislocation: the Spaso
technique
> M-C Yuen, P-G Yap, Y-T Chan and W-K Tung
> Accident and Emergency Department, Kwong Wah Hospital, 25 Waterloo Road,
> Kowloon, Hong Kong Special Administrative Region
>
> Objective-To introduce the Spaso technique for reducing anterior shoulder
> dislocation by reporting the success rate of the Spaso technique performed
> by junior emergency medicine residents.
>
> Design-Retrospective case series.
>
> Setting-Urban accident and emergency department.
>
> Participants-Patients with anterior shoulder dislocations.
>
> Interventions-The Spaso technique was applied by the emergency medicine
> residents to reduce anterior shoulder dislocation.
>
> Results-The emergency medicine residents applied the Spaso technique to
> reduce 16 cases of anterior dislocated shoulder during the study period.
The
> Spaso technique was successful in 14 of 16 cases. The overall success rate
> was 87.5% (95% CI 60.4, 97.8%). No complications were noted.
>
> Conclusion-A new method has been introduced for reduction of anterior
> shoulder dislocation by reporting the experience of junior residents. The
> Spaso technique is simple, effective and able to be performed by single
> operator. Although the sample size was small, the result of the study
could
> provide background information for planning a properly designed randomised
> controlled trial to evaluate the Spaso technique
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