In message <[log in to unmask]>, Goat
<[log in to unmask]> writes
>In article <[log in to unmask]>, Stephen Hughes
><[log in to unmask]> writes
>>Whilst finding out what the patient's cat is called, apply traction at
>>the elbow slowly and imperceptibly.
>Small point - NO TRACTION. (as described originally in Phil Belsham's
>tutonic transcription and AF's description)
>Traction = pain = muscle spasm = more pain etc.
>But hey, if it works for you, good luck to you.
>
>Goat
>
>Dr G Ray
>A&E
>Sussex
>Reply to [log in to unmask]
Counterpoint - No sudden coarsely applied traction. This is, of course,
one of the differences between the techniques.
This is all about relaxation, compliance and confidence trickery. It
also results in a "street fit" dischargeable patient. This has time and
resource savings.
A sop for the sceptics: These techniques do have a failure rate (despite
what was written by AF) You do have to choose your patients with some
care.
One thing I do notice is that the technique was learnt on an inner city
population and that these people seemed subjectively to be in less pain
and more ambulant than their rural counterparts. Does this mean that
urban folk have less shoulder muscle strength? What do you think?
--
Stephen Hughes Puller of fractures and shoulders, but on this occasion, not
legs!
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