Quick Drug Free Awake Shoulder Reduction Technique
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- čas přidán 16. 05. 2024
- This video shows how to reduce a dislocated shoulder in seconds. Using this technique this shoulder can be reduced anywhere without any need for drugs, sedation or anesthesia
When sir vinay kumar approves something it becomes a protocol...much respect from pakistan and thank you sir
Thank you
Prakash method is the best, works really most of the time
Yes
I'm practicing this in Pakistan for last 5 years. Reduced multiple shoulder dislocations.big fan of L prakash and vinay sir
Thank you
Sir, this is a wonderful technique which can be supplemented with few more details to make it even more easier-
1) Sitting in front of the patient and using your left hand to give traction at the elbow for a left sided dislocation.
2) Patient sits on a stool with back rested on a wall and instructed to keep his back straight.
3) A bed sheet passed through affected side axilla to provide counter traction directed towards opposite shoulder.
This works every time, even for 1st traumatic episodes.
The beauty of the technique is that there is no traction or counter taction. It also doesn't need any form of analgesia.
It worked every time … this is very effective in ER thank u sir
You are most welcome
2 best teachers, dr L prakash and dr vinay
Thank you
Excellent demonstration sir. I have started using this technique and works really well
Great to hear!
Muchas gracias por sus videos Dr. , siguen mejorando mi práctica ortopedia diaria. No deje de enseñar y compartir con el mundo su experiencia y conocimiento. Un afectuoso abrazo desde Chihuahua, Mexico.
Thank you. Will continue to make videos.
Just now I tried and it works. Thank you sir
My pleasure
Good job sir , sir aap jo bhi video bante hai usse achchi jankari prapt hoti hai thenku sir 🙏🙏🙏
Thank you
Great work sir
Thank you
Great, Dr. vinay kular, thank you, dear doctor.
Always welcome
Have practised this method,work almost always
Great 👍
I do this everytime, a very good technique indeed. Thank you for refreshing
You are so welcome!
I have tried Prakash method of reducing anterior shoulder dislocation many times but under some sedation and it really works
Thank you
It really works. We mostly use this method. Thanks always
Always welcome
Great great teacher
Thank you
Pinpoint explanation sir. love for Nepal
Thank you
Thank you sir great maneuver
Thank you
Great sir 🎉
Thank you
Super method sirji
Thank you
You are the best.. Thanks Sir
Thank you
than you sir for this informative videos
i really appreciate what you are doing
keep up the good work sir
Thank you
Awesome sir. Am doing this method. Works great. Pioneer is Dr. L prakash sir 👍🏻
Great 👍
Thanks a lot sir , have been using this and works every time. 😊
Most welcome 😊
Thank u so much
Most welcome 😊
Im an orthopaedic Nurse and this will certainty come in handy
Thank you
The last two years i tried this method and it was successful in all cases
Thank you
Awesome method sir, i also learned it from Dr L prakash sir.
Great 👍
Creating good interest .. super sir keep doing ..
Thank you, I will
this is actually kocher method. you can learn it by the mnemonic TEAR. T for traction with elbow 90 degree flexed, E for external rotation, A for adduction towards the chest, R for rotation internally. after external rotation hold it for minute. that is it
Great
Hello dear colleague, was local anesthesia used? In Russia, this method is called Kocher. A wonderful demonstration and result! I will be looking forward to new videos
We don't use any drugs
Nice work sir..
Waiting to see u in egypt.. ♥️♥️
Thank you
Oohh, this is my desirable manuever, have reduced countless anterior shoulder dislocations employing it.
It works greatly with chest in anterior extension.
Thnx alot Dr
Thanks for sharing!
Sir Good method and Thanks for your Demo
I have reduced many, with patient sitting on the bed, myself sitting on a chair, with one hand Gradual External Rotation holding at wrist and other hand over elbow and gentle axial traction will reduce quickly and better way with less pain without any analgesia.
Thank you
Good video in useful 🙏🙏🙏
Thanks a lot
Thank u sir for this demonstration .the patiant cooperation is important to succeed this method
Yes,some patients are so anxious that they do not allow this much external rotation, for me some sedation is necessary
Yes I agree
I have reduced many many anterior dislocation with this method. It works always .
Thank you
thanks
My pleasure
Thank u sir..🙏🏿
Most welcome
Last 3 yrs I m practice with this maneuver reduced more than 100 cases, and all his invention I am practicing
Thank you
Good morning sir . Thanks for demonstration of this method . I have reduced anterior dislocation of shoulder by this manoeuvre many times .in opd hours. Thanks
Excellent
L.PRAKASH METHOD SIR ,HAD DONE LOTS OF SHOULDER REDUCTION BY THIS TECHNIQE
Thank you
Long live Sir ,Love From Pakistan ❤
Thank you. Love from India
Good sir I am very happy & waiting
Thank you
Request heartly to present 1).Patella Dislocation
2).Ankle Dislocation
3).TMJ Dislocation
In future if possible without drug
When u were put this video I was very happy I know method because I learn from you & my expectation will Dr.vinay sir demonstration this in future & you do thank you first credit vinay sir second legendary Dr L prakash sir thank you both of teachers
Sir kocher maneuver already described says same. External rotation till one feels resistance ,adduction and then internal rotation.
Dr L prakash says same in sitting position.
With kocher maneuver i reduced more than 30 dislocations without anesthesia.
It's what I felt sir.
Hello sir…good afternoon…kindly make a video on shoulder hemiarthroplasty and reverse shoulder replacement covering all practical points…thank you
Sure
Thankq Sir🎉
My pleasure
Looks like a variation on kochers method (where the patient is supine). Here the patient is seated.
Yes
Been using this technique for last 7 years.. very good results.. i do it in supine..
Great 👍
BRAVO 🎉🎉🎉👏👏👏
Thank you
Thanks for explanation, how much can a rotational force like this method cause a fracture of humerus(probability)?
Upto 90 degrees but gentle
Hello doctor! How long before you decide to move to the second and third maneuver? After 1 minute immediately without reduction we move to adduction? Then 1 minute after move to internal rotation? Also do we do the 2nd and 3rd maneuver slowly similar to the 1st? Thank you for all the rich knowledge to be found in your channel!
Yes wait for at least a minute. If you wait long then it usually reduces in external rotation
What about the pt having ant dislocation with supracondylar fr of humerus
Then fix the supracondylar fracture and then reduce
Sir l prakash technique sounds better than drug feed awake shoulder technique
Yes
Never failed with the prakash method. That's the workhorse nowadays
Thank you
Sir please make a video on lisfranc injury surgical treatment.
Yes
@@DrVinayKumarSingh thank you sir
Am here from Uganda- Kampala
Thank you
Great sir , I have also tried l P sirs technique it s very simple and easy sir thank you for detailed video sir
Sir can we use it for neglected ant dislocation in aged osteoporotic patients ????
YeS you can use it in all patients
sir i have done this L prakash method on many pateints since years
Great
kindly do video description about CORA
Ok
Doctor, how can I contact you?
I have a dislocation and fracture in the joint of my finger, which causes my finger to stop moving
WhatsApp me through www.drvinaysingh.in
calcaneus fracture , please🌺🙏🏼
Yes
of this maneuver; The only difference from the Kocher maneuver is that it is performed while sitting.
And no traction
Dear Dr. Vinay were you working before in EPSOM & St, HELLIER university hospital Surrey ?? if am not wrong ?
Yes how do you know?
Can someone please explain how is this different from Kochers technique?
There is no analgesia, no traction or counter traction, the patient is sitting but I agree it's a Kocher with a slight modification.
I think the same as kocher method except the time
There is no analgesia, no traction or counter traction, the patient is sitting but I agree it's a Kocher with a slight modification.
Sir many times after abduction ,and external rotation it doesn't reduce... patient contract his muscle or because paitent is not relax ...that time should be give some sedation?! Or start second attempt
Adding sedation is not a crime😊
@1:29 - poor guy just sitting there while a guy is saying that he won't get any meds or pain relief and is forced to act like he's not in pain . you can see the tachypnoea
This is the best treatment these patients can get.
No drugs, no sedation, no traction and in no time they are pain-free
The patient in this video has had fits and his arm is in internal rotation, so did he hsve pisterior dislocation?
It was anterior
@@DrVinayKumarSingh thank you sir!!
Sir, is this method for both anterior and posterior dislocations?
For anterior
@@DrVinayKumarSingh thank you sir!
Sir,,🙏🙏
Thank you
I use this technique in lying position. patients shoulder is stable in lying position.
Great
❤
Thank you
Its anterior dislocation sir?
Yes, it is
Dr vinay aapko Bells palsy To Nahin Hui Hai Mujhe aapke liye fikra ho rahi hai
No😊 I have a cold sore and it's getting better. Thank you for your concern.
❤❤❤❤❤❤❤❤❤❤
Thank you
Credit to prof l prakash sir
Thank you
This is sir dr L Prakash method 😅
Yes
В России это называют методом по Кохеру
There is no analgesia, no traction or counter traction, the patient is sitting but I agree it's a Kocher with a slight modification.
Метод Кохера же.
There is no analgesia, no traction or counter traction, the patient is sitting but I agree it's a Kocher with a slight modification.
@@DrVinayKumarSingh я бы вообще убрал все названия по фамилиям и оставил определения "тракционные" и "рычаговые" методы вправления