CAUTION: THESE NOTES CONTAIN SPOILERS!!

Case Introduction

You are working a shift at EM Clerkship General when you are called to the waiting room by the charge nurse for a seizing patient.

Initial Vitals

  • Temp 99.0F
  • HR 97
  • RR 16
  • BP 120/80
  • O2 90%

Critical Actions

  • Perform airway maneuvers to clear obstruction
  • Administer IV Benzodiazepines
  • Administer Hypertonic Saline
  • Diagnose Anterior Shoulder Dislocation
  • Perform & Describe Shoulder Reduction Procedure

Further Reading

EMDOCs – Anterior Shoulder

ALiEM – Park Method for Anterior Shoulder Dislocation

EMCrit – Hyponatremia