Official Title: Emergency Department Management of Anterior Shoulder Dislocation Patients
Status: RECRUITING
Status Verified Date: 2024-07
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: In this study investigator will analyze the demographic characteristics of patients presenting to emergency department with Anterior Shoulder Dislocation Investigators will document the mechanism of injury orthopedic classification of shoulder dislocation associated treatments pre-procedural pain scoring post-procedural pain scoring as well as the duration of emergency department stay related to the preferred treatment orthopedic consultation and patient outcomes discharge admission to ward or intensive care unit mortality Aim of the study to investigate whether the current treatments used provide any superiority in emergency department outcomes for patients
Detailed Description: Intravenous analgesia Paracetamol NSAIDs opioids is preferred for patients during the treatment and reduction stages of anterior shoulder dislocation Additionally patients may receive regional anesthesia and analgesia lidocaine bupivacaine The route and dosage of analgesic administration are chosen by the attending physician managing the patient In this study investigators plan to observationally evaluate the analgesic management of patients without intervening in the method and dosage chosen by the primary treating physician
Patients receiving analgesia will be chosen according to preffered treatment at emergency department The study population will consist of patients presenting to the emergency department with shoulder dislocation who receive analgesia and fall into the following 4 treatment groups
These 4 group will consist in
1 ketamine group 2 interscalene nerve block group 3 suprascapular nerve block group 4 intraarticular lidocaine injection group The study will compare these 4 treatment methods in terms of analgesia management reduction time comfort and length of hospital stay for patients presenting to the emergency department with shoulder dislocation and receiving analgesia The researcher will not interfere with the treatment decision made by the responsible physician or the treatment process