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<< Managing Dislocations of the Hip, Knee, and Ankle in the Emergency Department (Trauma CME)

Prehospital Care

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Prehospital care of the injured lower extremity is directed at stabilizing the extremity and pain control. The initial evaluation determines whether the patient has sustained any other more-significant injuries that could lead to death or permanent disability. Since dislocations or fractures are considered distracting injuries, emergency medical services (EMS) providers are often advised to immobilize the cervical spine if there is any potential for an unstable injury. Prehospital evaluation of neurovascular status should be performed for any suspected dislocation and, if there is evidence of neurovascular compromise (cold, pulselessness, loss of sensation, or discoloration), an attempt at immediate reduction should be considered, particularly for the knee or the ankle.35

Prehospital care of the injured lower extremity is directed at stabilizing the extremity and pain control. The initial evaluation determines whether the patient has sustained any other more-significant injuries that could lead to death or permanent disability. Since dislocations or fractures are considered distracting injuries, emergency medical services (EMS) providers are often advised to immobilize the cervical spine if there is any potential for an unstable injury. Prehospital evaluation of neurovascular status should be performed for any suspected dislocation and, if there is evidence of neurovascular compromise (cold, pulselessness, loss of sensation, or discoloration), an attempt at immediate reduction should be considered, particularly for the knee or the ankle.35

Prehospital care of the injured lower extremity is directed at stabilizing the extremity and pain control. The initial evaluation determines whether the patient has sustained any other more-significant injuries that could lead to death or permanent disability. Since dislocations or fractures are considered distracting injuries, emergency medical services (EMS) providers are often advised to immobilize the cervical spine if there is any potential for an unstable injury. Prehospital evaluation of neurovascular status should be performed for any suspected dislocation and, if there is evidence of neurovascular compromise (cold, pulselessness, loss of sensation, or discoloration), an attempt at immediate reduction should be considered, particularly for the knee or the ankle.35

Prehospital care of the injured lower extremity is directed at stabilizing the extremity and pain control. The initial evaluation determines whether the patient has sustained any other more-significant injuries that could lead to death or permanent disability. Since dislocations or fractures are considered distracting injuries, emergency medical services (EMS) providers are often advised to immobilize the cervical spine if there is any potential for an unstable injury. Prehospital evaluation of neurovascular status should be performed for any suspected dislocation and, if there is evidence of neurovascular compromise (cold, pulselessness, loss of sensation, or discoloration), an attempt at immediate reduction should be considered, particularly for the knee or the ankle.35

Prehospital care of the injured lower extremity is directed at stabilizing the extremity and pain control. The initial evaluation determines whether the patient has sustained any other more-significant injuries that could lead to death or permanent disability. Since dislocations or fractures are considered distracting injuries, emergency medical services (EMS) providers are often advised to immobilize the cervical spine if there is any potential for an unstable injury. Prehospital evaluation of neurovascular status should be performed for any suspected dislocation and, if there is evidence of neurovascular compromise (cold, pulselessness, loss of sensation, or discoloration), an attempt at immediate reduction should be considered, particularly for the knee or the ankle.35

Prehospital care of the injured lower extremity is directed at stabilizing the extremity and pain control. The initial evaluation determines whether the patient has sustained any other more-significant injuries that could lead to death or permanent disability. Since dislocations or fractures are considered distracting injuries, emergency medical services (EMS) providers are often advised to immobilize the cervical spine if there is any potential for an unstable injury. Prehospital evaluation of neurovascular status should be performed for any suspected dislocation and, if there is evidence of neurovascular compromise (cold, pulselessness, loss of sensation, or discoloration), an attempt at immediate reduction should be considered, particularly for the knee or the ankle.35

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