Andy
I'm trying to think of a situation when it ISN'T the last variation
attempted that succeeds.... ;-)
Chris
----- Original Message -----
From: "Andrew Lockey" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, October 22, 2001 4:20 PM
Subject: Re: Flumazenil, Sedation and Fits
> 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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