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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Wednesday, July 6, 2016

Davos Technique for Shoulder Dislocations

Resultado de imagen de emergency medicine news
Emergency Medicine News - Mallick Larry - July 2016 - Volume 38 - Issue 7 - pp 1,32–32
doi: 10.1097/01.EEM.0000488818.02695.ef
"Multiple methods are touted for reducing anterior shoulder dislocations, and every emergency physician seems to have gravitated to one or two methods that he uses routinely. Why someone prefers one technique over another is not clear, but the factors for technique selection seem to be training, ease of application, and prior successful experiences...
But now the Davos Technique for anterior shoulder dislocation reductions enters the scene. The technique was described recently inThe Journal of Emergency Medicine. (2016;50[4]:656.) It is known as the Davos technique because the physicians who first described it worked at Davos hospital in Switzerland. In reality, this technique has been around for a while, and was first described in 1993. (Z Unfallchir Versicherungsmed 1993;Suppl 1:215; Helv Chir Acta 1993;60[1-2]:263.) Nevertheless, it has never gained traction until now, if you'll pardon the pun. The Davos technique has been described as a nontraumatic, patient-controlled, and auto-reduction technique that does not require the use of anesthesia. (J Orthop Trauma1997;11[6]:399.) It is used only for anterior dislocations, and has a reported success rate of 60 to 90 percent. (J Emerg Med2016;50[4]:656; J Orthop Trauma1997;11[6]:399.)...
Watch One, Do One
Visit Dr. Mellick's EMN blog to see a video of the Davos technique being performed: http://emn.online/MellickBlog. A second video showing other ways to reduce a dislocated shoulder is also available."