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Target Audience: Emergency healthcare professionals both urban and rural, residents, medical students and all other inter-professional healthcare providers practicing emergency medicine.
Accreditation: This virtual discussion has been approved for Mainpro+ credits
Session-specific objectives
By the end of this session, learners will:
• be aware of the success rate of intraarticular analgesia injection versus IV sedation for reduction of anterior should dislocations; and
• recognize the potential for awareness after sedation among critically ill emergency department patients.
Speakers/Faculty
- Article 1: Dr. Bruce Radmacher (Resident) with Dr. Jessica Cowan (Faculty)
- Article 2: Dr. Alex Suleiman (Resident) with Dr. Kimberly Taylor (Faculty)
Discussion articles
- Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: A systematic review and network meta-analysis – (Article Link) – “The results of our NMA indicated that three sedation or analgesia methods (IVS, IAA, and PNB) might result in little to no difference in the success rate of reduction and patient satisfaction. IAA and PNB had no adverse respiratory events.”
- Awareness with paralysis among critically ill emergency department patients: A prospective cohort study – (Article Link) – “AWP was present in a concerning proportion of mechanically ventilated ED patients, was associated with rocuronium exposure in the ED, and led to increased levels of perceived threat, placing patients at greater risk for PTSD. Studies that aim to further quantify AWP in this vulnerable population and eliminate its occurrence are urgently needed.”