Question

How should the EMT-B take care of a dislocated shoulder?

Answer 1

The EMT-B should immobilize the patient's dislocated shoulder and provide transport to the hospital while managing pain. The orthopedist may prescribe a range of treatments including surgery; a physical therapist will create a comprehensive rehabilitation plan to restore function.

Step-by-step explanation:

EMT-B care for a dislocated shoulder involves initial assessment and immobilization of the shoulder joint, followed by transport to the hospital. It is important for EMT-Bs not to attempt to reposition or reduce the dislocated shoulder due to the risk of damaging nerves or tissue. Instead, the focus should be on supporting the arm in a comfortable position, often by applying a sling and swath, and managing the patient's pain.

After transport, an orthopedist may be involved in the treatment, which can range from exercise to surgery depending on the complexity of the injury. A detailed physical therapy plan is essential for recovery, beginning with the application of a heat pack to enhance blood circulation for healing, followed by a series of exercises, and ending with icing. The goal is to reduce inflammation and gradually restore range of motion.

Throughout the recovery process, the physical therapist works closely with patients to help them regain their normal level of physical activity, customizing therapy to meet individual needs.

Answer 2

An EMT-B should stabilize a dislocated shoulder, manage pain, and transport the patient to a medical facility. There, an orthopedist may plan treatment involving physical therapy, including heat application, exercises, and icing to manage inflammation and swelling and restore shoulder function.

Step-by-step explanation:

When an Emergency Medical Technician-Basic (EMT-B) encounters a dislocated shoulder, it's crucial to take measures that prevent further injury and begin the process of healing. The EMT-B's primary job is to stabilize the joint, provide pain relief, and ensure safe and prompt transportation to a medical facility, where a more detailed assessment and an appropriate physical therapy plan can be made by a specialist.

Injuries to the shoulder joint, such as a dislocated shoulder, can occur during activities where the arm is fully abducted and force is applied, like when trying to catch a ball or during certain sports. Once at the hospital, an orthopedist may create a treatment plan involving physical therapy. The initial phase of therapy often involves applying a heat pack to increase blood flow for healing, followed by a range of motion exercises to be done at home, and icing to reduce inflammation and swelling. After several weeks of therapy, an exit exam is conducted to assess the restored range of motion and to observe the shoulder's return to normal function. Throughout the entire process, the patient works closely with the physical therapist to gradually regain their normal level of physical activity.