What's up guys? So we've been listening to the podcast with YouTube. You probably heard our last lecture on anterior shoulder dislocations.

Well today we're going to be building on that topic so if you happen to miss it, make sure and go back and listen.

Last week we talked about how these patients will present, how the injury is most

commonly sustained, how to do a good shoulder exam, what imaging studies to order, and finally

we talked about how to reduce the shoulder without having to sedate the patient.

However, there will be times when you are unable to reduce the shoulder without sedating the patient.

Maybe because this procedure is too painful for them, or maybe because they're a really muscular individual and they're two

tentents to reduce the shoulder without sedation. So today we're going to talk about

how to effectively and more importantly safely sedate the patient and reduce the

shoulder in the emergency room.

Now I want to stop for a moment before we get into procedural sedation.

While procedural sedation can be done safely and effectively by physicians, physician

assistance, and nurse practitioners.

If you are unfamiliar with these medications commonly use,

the complications that can arise and or do not have experience

with managing an airway, then you should not be performing procedural sedation.

If you find yourself under this category, that is okay.

Remember, the first rule of medicine is do no harm.

Simply approach your attending physician and tell them that you have a patient with an anterior

shoulder dislocation who could either not tolerate the reduction procedure secondary to pain or was unsuccessful.

It's important to know your own limitations and your attending

physicians will respect you for that. Ask them if they can either manage the

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