During a high school football game, a 16-year-old player experiences a severe tackle and subsequently exhibits signs of anterior shoulder dislocation. Which of these interventions should be prioritized prior to transport to the hospital?
Apply a posterior splint to the arm
Administer non-steroidal anti-inflammatory drugs (NSAIDs)
Stabilize the shoulder in a position of comfort
Transport immediately to the hospital without initial interventions
The correct response is to stabilize the shoulder in a position of comfort. Proper stabilization involves immobilizing the shoulder to minimize movement and prevent further damage before professional medical assessment and treatment can be initiated at a hospital. While posterior splinting may seem similar, it is not ideal for anterior dislocations. Administering NSAIDs before immobilization, while providing some pain relief, does not prevent the mechanical aggravation of the area affected. Transporting straight to the hospital without initial stabilization can lead to further injury due to unnecessary movement of the dislocated joint.
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Why is stabilizing the shoulder in a position of comfort the most important intervention for an anterior shoulder dislocation?
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What is an anterior shoulder dislocation, and how is it different from other types of shoulder dislocations?
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Why is a posterior splint not appropriate for treating anterior shoulder dislocations before transport?
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Musculoskeletal and Wound Emergencies
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