SPASO technique was described in the journal, see below. It is not a
fantastically designed study but is interesting nonetheless.
(NB. I usually use Propofol plus an opiate or ketoralac, sedation is very
easy to control and they come round asap).
Simon Carley
SpR in Emergency Medicine
[log in to unmask]
Evidence based emergency medicine
http://www.bestbets.org
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.
Keywords: shoulder dislocation; Spaso technique
----- Original Message -----
From: "Adrian Kerner" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, October 15, 2001 11:09 PM
Subject: Re: Flumazenil, Sedation and Fits
> I agree with Andy as regard shoulder dislocations. I rarely use Midazolam
> and 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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