ఎమర్జెన్సీ మెడిసిన్: ఓపెన్ యాక్సెస్
అందరికి ప్రవేశం

నైరూప్య

Reproducibility of the Seated Reduction Technique for Anterior Shoulder Dislocation When Performed by Doctors with Minimal Experience in the Technique

Sadiq Jamali and Stephen Edward Asha

Background: A sedation-free seated reduction technique for shoulder dislocation was demonstrated safe and effective when performed by an experienced clinician. It is unclear if these results are reproducible in doctors with minimal experience of the technique.

Aim: To determine success of reduction in doctors with minimal experience.

Method: Minimally experienced doctors performed reductions following an education session (group 2). Success and complications were compared to a retrospective cohort of reductions performed by an experienced clinician (group 1).

Results: There were 65 patients in group 1, 38 in group 2. Success in group 1 was 100% (95% CI 95-100) and 95% (95% CI 82-99) in group 2, p = 0.06. There were no complications. Median length of stay was 60 minutes (IQR 34-102) in group 1 versus 80 minutes (IQR 38-112) in group 2, p = 0.35.

Conclusion: The seated technique is an effective method of shoulder reduction that is reproducible in doctors with minimal experience.