That too! Also international law is a wonderfully arcane business. When I
once did a stint in Antarctica as a ship's doctor, I was reassured that the
American passengers on the Russian boat chartered by the British company
sailing in Chilean waters to landfall in Argentinian territory would have a
bit of a problem finding a lawyer who could unravel all of that to
successfully sue!
AF
----- Original Message -----
From: "Paul Bailey" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, January 28, 2006 2:55 PM
Subject: Re: Post reduction x-rays for anterior shoulder dislocation
> They'd have trouble suing you if they didn't know your name or contact
> details.
>
> PB
>
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of McCormick Simon Dr,
> Consultant, A&E
> Sent: Saturday, 28 January 2006 5:16 PM
> To: [log in to unmask]
> Subject: Re: Post reduction x-rays for anterior shoulder dislocation
>
> Brave decision Rowley. I'm not sure I'd have put back a 'traumatic'
> shoulder dislocation without an x-ray in the USA! This is, of course, the
> common sense thing to do and I applaud your stance but the thought of
> having
> myself sued would probably have held me back. Sad but true.
>
> Simon (Following this thread at home in Sheffield)
>
>
> -----Original Message-----
> From: Rowley Cottingham [mailto:[log in to unmask]]
> Sent: 28 January 2006 02:27
> To: [log in to unmask]
> Subject: Re: Post reduction x-rays for anterior shoulder dislocation
>
>
> It won't be apparent, but I have been following this thread on holiday
> ski-ing in New Hampshire. We had just got off the gondola today, and went
> down a short steep link. There were a couple of snowboarders lying at the
> bottom of the link, and one was obviously in pain. We stopped as I thought
> he must have broken tib and fib since he was groaning as his friend
> released
> his foot from the board. No, he had dislocated his left shoulder! Heigh
> ho,
> I thought. So there at the bottom of the slope, with no towels or fentanyl
> in sight, I popped it straight back in.
>
> I'm here to say that if you do it soon after dislocation it is really
> quite
> easy...
>
> Best wishes
>
>
> Rowley.
>
>
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Adrian Fogarty
> Sent: 27 January 2006 05:47
> To: [log in to unmask]
> Subject: Re: Post reduction x-rays for anterior shoulder dislocation
>
>
> ----- Original Message -----
> From: "Doc Holiday" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Friday, January 27, 2006 2:29 AM
> Subject: Re: Post reduction x-rays for anterior shoulder dislocation
>
>> >Here's a hint. If you see a doctor either ask for a towel or take a
>> >shoe
>> >off, run a mile or offer to take over.
>>
>> --> Take a shoe off? Showing our age, aren't we? I often use my left
>> --> hand
>> or the patient's own weight with the key being taking the time to
>> verbally
>> (or hypnotically) promote relaxation.
>
> Now, just because it's called Hippocratic doesn't mean you have to be over
> two thousand years old to practice it! I think if you are going to
> practice
> a traction method (and I rarely do these days) then you can't beat the
> Hippocratic method. The foot rests not in the axilla but on the lateral
> chest wall and merely provides robust countertraction that can't be
> emulated
>
> by a third party (rather like the passengers in your car never seem to be
> able to brace themselves properly for heavy braking or accelerating; you
> are
>
> the only person who can anticipate and modulate the forces required). The
> foot can also act as a fulcrum for the more resistant cases but it's
> essentially a pure traction method so doesn't do much harm. I generally
> reserve it for those patients who need a GA. Thankfully, Kocher's
> (original)
>
> seems to work fine for most of my cases, under a modicum of analgesia
> rather
>
> than sedation, usually fentanyl.
>
> AF
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