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Case Conferences

Use of Ultrasound for Joint Dislocation Reduction in an Austere Wilderness Setting: A Case Report

, MD, , MD MPH EMT-P, , MD, NRP, , MD NRP, , DO, EMT-P & , MD
Pages 584-589 | Received 24 Nov 2017, Accepted 30 Sep 2018, Published online: 07 Nov 2018
 

Abstract

Point-of-care ultrasound has been shown to have a demonstrable impact in the austere/out-of-hospital environment. As ultrasounds become more affordable and portable, a myriad of uses in austere environments are becoming recognized. We present a case of a stranded hiker with an ultrasound-confirmed glenohumeral joint dislocation who underwent ultrasound-guided intra-articular lidocaine injection and ultrasound-confirmed reduction. This procedure allowed the patient to hike out under his own power, avoiding the potential dangers of extrication to both patient and rescuers. We believe this case demonstrates the feasibility and utility of ultrasound in the out-of-hospital environment both procedurally and diagnostically.

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