This patient's jaw dislocation was successfully reduced with the classic technique. Wrap your thumbs in gauze and apply steady downward and posterior pressure on the mandible.
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Option to change your position: Standing on a stool behind the head of the bed gives you a better angle to use the combined weight of gravity and a more forceful consistent downward push by your arms to relax the muscles.
My approach to mandible dislocation: 1. Syringe rolling technique (5/10ml syringe); This has failed me every time; perhaps I enjoy step 2 too much 2. Technique described above: done to perfection, well done!
Comments regarding other components of the procedure: Not sure why he has a mask with reservoir on (a bit overkill and could mask a sneaky apneic episode by being preoxygenated and not being picked up by oximetry; *insert nasal prong capnography here
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John A. S. - July 1, 2021 12:31 PM
Option to change your position: Standing on a stool behind the head of the bed gives you a better angle to use the combined weight of gravity and a more forceful consistent downward push by your arms to relax the muscles.
Jess Mason - July 1, 2021 12:36 PM
Yes! Billy Mallon teaches that approach. Haven't caught it on film yet but hope to.
Romain D. - August 18, 2021 5:47 AM
Test comment
Alex Roux, MD - October 28, 2021 9:16 AM
My approach to mandible dislocation:
1. Syringe rolling technique (5/10ml syringe); This has failed me every time; perhaps I enjoy step 2 too much
2. Technique described above: done to perfection, well done!
Comments regarding other components of the procedure:
Not sure why he has a mask with reservoir on (a bit overkill and could mask a sneaky apneic episode by being preoxygenated and not being picked up by oximetry; *insert nasal prong capnography here