Manual traction

[Tigger]

Yup, if traction is required for extrication or for compromised circulation they get loaded up with fentanyl and valium (now ketamine) and an attempt is made. If unsuccessful we are supposed to call in.

We are also now doing anterior shoulder dislocations on standing orders.

 

[ERDoc]

Does anyone have hematoma blocks in the protocols? It seems like this would be a good alternative if you don't have the ability to sedate/medicate.

 

[Av8or007]

Does anyone have hematoma blocks in the protocols? It seems like this would be a good alternative if you don't have the ability to sedate/medicate.

Good idea. This could even be taught to ILS providers who usually cannot give opioids. AFAIK this is a safe procedure with few contraindications. Lidocaine used for LA is very safe as well.

 

[TransportJockey]

Does anyone have hematoma blocks in the protocols? It seems like this would be a good alternative if you don't have the ability to sedate/medicate.

We can do digital and.regional blocks on standing orders. Actually did a digital block last tour for a crushed hand that was allergic to nearly all narcotics.

 

[ERDoc]

I find it interesting that this isn't allowed more. Depending on where you are doing it, there are very few complications and can bring almost immediate relief, even if you don't plan on doing a reduction.