At 05:33 PM 12-06-05, you wrote: >Can anyone comment on the validity of this method? If this really >works, this seems like a very worthwhile piece of information for >touring kayakers. i think this is one of those "when all you have is a hammer, everything looks like a nail" things. the shoulder (scapula) sits around & among several bones and can indeed get dislocated, but without knowing which bones, tendons, and ligaments are involved, the remedy could cause immensely more trouble. here is a nerdly little URL to explain the types of dislocations. http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=171&topcategory=Shoulder i do ultrasound in a hospital, so most of my practice is not musculoskeletal, but visceral- - -but still, as a medical professional, considering the possible varieties of dislocation, this sounds like big trouble to me. not that i'm intrepid of a kayaker to GET a shoulder dislocation (most likely), but if i were and did, i'd bind the shoulder to my side and get the hell back to civilization. obviously if you are by yourself in the wilderness this isn't gonna work. . . but the remedy mentioned has only a 33% chance or thereabouts of working, either. just my 2 cents. Kathleen Comalli Dillon, BA, RDMS Novato, CA *************************************************************************** PaddleWise Paddling Mailing List - Any opinions or suggestions expressed here are solely those of the writer(s). You must assume the entire responsibility for reliance upon them. All postings copyright the author. Submissions: PaddleWise_at_PaddleWise.net Subscriptions: PaddleWise-request_at_PaddleWise.net Website: http://www.paddlewise.net/ ***************************************************************************
Kathleen wrote: - SNIP >but without knowing which bones, tendons, and ligaments >are involved, the remedy could cause immensely more trouble. and SNIP >not that i'm intrepid of a kayaker to GET a shoulder dislocation >(most likely), but if i were and did, i'd bind the shoulder >to my side and get the hell back to civilization. G'Day, My sentiments also Kathleen, except that where we paddle can be a very long way from medical help. I'm told the sooner the shoulder can be relocated the quicker the recovery and that it can take months to years for anything like a full recovery. So it would be useful to have the relocation taught somehow in a first aid course. We've had a few dislocations in our club over the last year or two. They all occurred in the surf, mostly during incorrectly executed high bracing. It has happened to at least two members on more than one occasion so I suspect that once dislocated a shoulder may be more susceptible. One of the victims was a doctor and able to relocate their shoulder effectively - so it is possible sometimes if one only knew how. All the best, PeterO *************************************************************************** PaddleWise Paddling Mailing List - Any opinions or suggestions expressed here are solely those of the writer(s). You must assume the entire responsibility for reliance upon them. All postings copyright the author. Submissions: PaddleWise_at_PaddleWise.net Subscriptions: PaddleWise-request_at_PaddleWise.net Website: http://www.paddlewise.net/ ***************************************************************************
On 13 Jun 2005 at 21:40, rebyl_kayak_at_iprimus.com.au wrote: > >not that i'm intrepid of a kayaker to GET a shoulder dislocation > >(most likely), but if i were and did, i'd bind the shoulder to my > >side and get the hell back to civilization. > > G'Day, > > My sentiments also Kathleen, except that where we paddle can be a very > long way from medical help. I'm told the sooner the shoulder can be > relocated the quicker the recovery and that it can take months to > years for anything like a full recovery. So it would be useful to have > the relocation taught somehow in a first aid course. I just looked up my copy of Forgey's Wilderness Medicine book and he makes a number of comments about shoulder dislocations. Significant is his statement that the sooner you relocate the shoulder, the better. He identifies he anterior dislocation as being about ten times more likely than a posterior one and is treatable with the Stimson Method. He points out that the Stimson Method puts less force on the shoulder than any other method and that is important if there are other injuries along with the dislocation. When a friend of mine dislocated his shoulder while skiing, I was the first on the scene. We got him to the hospital within a couple of hours and the doctor relocated the shoulder in seconds (when you know how, the technique is obviously easy!). The doctor had asked him if he wanted a painkiller before proceeding and he said that he'd rather the shoulder be treated than wait for a painkiller to kick in. The reduction of pain was described as immediate. He told me that the pain was so bad that he'd do almost anything to have the shoulder treated rather than wait again. So I think the message I got out of this, reading and First Aid courses I've taken is that you have to judge the situation. If aid is feasible in a timely manner, binding and shipping the patient off to the hospital is a good idea. However, if you can diagnose the dislocation as an anterior one (the books describe this) and the time to treatment is long, use the Stimson method and get the patient to professional help as soon as possible. Mike *************************************************************************** PaddleWise Paddling Mailing List - Any opinions or suggestions expressed here are solely those of the writer(s). You must assume the entire responsibility for reliance upon them. All postings copyright the author. Submissions: PaddleWise_at_PaddleWise.net Subscriptions: PaddleWise-request_at_PaddleWise.net Website: http://www.paddlewise.net/ ***************************************************************************
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