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EM CasesFracture and dislocation reduction

EM Cases · Fracture and dislocation reduction

Anterior shoulder dislocation reduction station

ACEM Fellowship OSCE testing pre/post neurovascular exam, analgesia/sedation choice, named reduction technique, and post-reduction radiograph.

resus1 min readVerification in progress

Target exams

ACEMFRCEMABEMFRCPCCCFPEMEBEEM
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Target exams

ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
First-time anterior shoulder dislocation; junior prepares to reduce without neurovascular check or post-film plan.

Station brief

Format. Clinical-management station, 11 minutes. You supervise an ED reduction.

Emergency Medicine Pro

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Emergency Medicine fellowship library.

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References2ShowHide
  1. [1]Gonai S, Yoneoka D, Miyoshi T, et al. A Systematic Review With Pairwise and Network Meta-analysis of Closed Reduction Methods for Anterior Shoulder Dislocation. Ann Emerg Med, 2023.PMID 36797133
  2. [2]Gottlieb M, Nakitende D, Krass L, et al. Frequency of Fractures Identified on Post-Reduction Radiographs After Shoulder Dislocation. West J Emerg Med, 2016.PMID 26823928
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