Reducing Deformity in the Field

Many EMS programs do not recommend prehospital reduction of deformity of an injured extremity. If the deformity is near a joint (suggesting the possibility of dislocation), this is certainly good advice. Injudicious manipulation may convert a pure dislocation to a fracture-dislocation. Even if a fracture already exists, there will be no way to prove it was not caused by the manipulation.

A circumstance in which prehospital reduction of obvious fractures along the shaft of a long bone can be justified is the absence of a distal pulse. Minutes count in such cases. If reduction is attempted, it should be performed by means of longitudinal traction.

In the absence of a common standard, the indications for reduction of deformity by prehospital personnel ultimately remain at the discretion of the supervising EMS program.

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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