Joint Reduction Techniques with Dr. Gannon Sungar
from ACEP Frontline - Emergency Medicine
In this Frontline Weekend Playlist episode, hear Dr. Gannon Sungar, DO, present "Syringes, Rocket Launchers, and Rum: Common Reduction Techniques in the Emergency Department" from the Fourth Annual Leadership Symposium & EM: High Risk – Do Not Miss Conference in Beaver Creek, Colorado. Rather than a comprehensive review, Dr. Sungar highlights a handful of practical, often-overlooked techniques for three of the ED's most common dislocations. For the mandible, he compares the syringe and extraoral techniques as gentler alternatives to the traditional intraoral approach. For the shoulder, he covers scapular manipulation as a universal adjunct along with the no-sedation Cunningham and Fares techniques, plus the shoulder-elbow method as a sedated rescue. For the hip, he walks through the Captain Morgan and rocket launcher techniques as safer alternatives to the classic Bigelow maneuver, along with the hip-foot fulcrum for tougher cases. The throughline: patience, positioning, and mechanical advantage can often beat brute force — a useful addition to any emergency physician's toolkit.
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