Reproducibility of the Seated Reduction Technique for Anterior Shoulder Dislocation When Performed by Doctors with Minimal Experience in the TechniqueSadiq Jamali1* and Stephen Edward Asha2,3
- *Corresponding Author:
- Sadiq Jamali
Department of Emerg Med (Los Angel) , Ryde Hospital
Sydney Australasian College for Emerg Med (Los Angel) , Australia
E-mail: [email protected]
Received Date: March 13, 2012; Accepted Date: March 28, 2012; Published Date: March 30, 2012
Citation: Jamali S, Asha SE (2012) Reproducibility of the Seated Reduction Technique for Anterior Shoulder Dislocation When Performed by Doctors with Minimal Experience in the Technique. Emerg Med (Los Angel) 2:109. doi:10.4172/2165-7548.1000109
Copyright: © 2012 Jamali S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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.