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In message <[log in to unmask]>, Cliff Reid <[log in to unmask]> writes > >A few years >ago I shared your scepticism but like the other authors on the list am now >totally sold on gentle, slow, ?potentially less traumatic methods of >manipulation of anterior shoulder dislocations, for which I use entonox >analgesia. Much quicker, pharmacologically safer, and, as Steve says, >results in a "street fit" dischargeable patient. > so let's concentrate on sharing the good stuff. > Thank you for your support, Cliff. I have drawn some fire from colleaues whom I suspect have never tried to reduce a shoulder in an unsedated patient. Doubtless, you will be familiar with Helen Cugnoni's technique, which is the one I practice, as described. At present, I am auditing my unsedated shoulders (as well as my regional anaesthesia work). Interestingly, there is a subgroup that needs neither sedation nor analgesia. I have to say that in common with the rest of the list, I do give analgesia when required (beyond getting my military patients to bite their berets!) -- Stephen Hughes