Posterior Elbow Dislocation Reduction

[@RightToSelfDefense]

She is surely a sweet lady. I am sorry to see that she was in so much pain but I am glad the doctors got her fixed.

[@lmellick]

Patients are given the option for having their faces blurred. Interestingly, in this day and age of reality TV shows we find many patients are actually honored and like being on KZbin.

[@gundomatumba191]

Amazing moment helping this poor old woman, God bless you all 🙏🏽

[@lmellick]

Thanks! It's great to know that others find them beneficial.

[@lmellick]

Oh yes, thanks for the compliment about the videos and admonition to bring back the trumpet music! Maybe I will.

[@kenlequack3202]

Thumbs up for the guy cussing and yelling in the background lmao. Great Videos Larry, keep them coming.

[@reptileking2001]

He was probably talking to the cops.

[@Kit3300-ab]

She’s very expressive

[@blee3509]

I fractured my right elbow and dislocated my left elbow. The ER doctor had this big male nurse put his massive forearm on the elbow to use as leverage and rotate my forearm to 90 degrees. They warn me this is going to hurt and they were not kidding. Everyone heard the pop but the doctor did not think it was fully in. They again bend my left arm and I heard two little pops. Now the doctor felt elbow was put back in place. Looks like she had it easier than mine. Was not given any pain medication.

[@richieflood3923]

You really start to know selfish people when they see a video and make it about themselves. Just shut up.

[@kimescorcia]

​@@richieflood3923You sound miserable.

[@Ciesiam]

Thanks for sharing. I’m glad I never had this experience.

[@lmellick]

That is correct. Verbal and signed permission.

[@1WickedAngel1]

Awe, bless her heart. I hope she is mending well. She seems like such a sweet lady. Thanks for Sharing your videos with us. Angelique

[@mrcharrington1]

Good to know how to do this kind of stuff in an emergency. Thanks.

[@MikeyMikeM21]

She looks sweet...... Glad she is ok.

[@cushman11firefighter18]

Glad to see she did okay

[@lindabourgeois878]

I dislocated my left elbow at 18. They gave me some morphine for pain, but I still felt it so they knocked me out. I don't know how she was awake during that.

[@wendymorrison5803]

I dislocated my left elbow. They knocked me out in the ER. Did the reduction. It took three of them. Then in a cast, followed by six weeks in a brace. Not reccomended.

[@cookmautube]

Thanks for the explanation. Unfortunately, I've had procedures done under conscious sedation more times than I care to admit. Only once have I been given ketamine and I must say it was a terrifying experience. They actually had to give me something to lower my blood pressure. Pre-procedure it was around 110/60.

[@sneepsnorp1404]

I tripped over my dog last night and had this type of dislocation. I went into shock and popped it back in. I went to the hospital then and had a good looking Xray. They gave me a sling and sent me on my way, as I am already on multiple medications for my chronic pelvic pain and conditions. Although today I cannot move this arm and slept very little do to the pain.

[@charlescothron8063]

420Taiga i can’t imagine doing that XD

[@glor3na]

she seems like a fun patient!

[@ci560]

Never ceases to amaze me why Dr's, with access to every analgesia from Paracetamol to Fentanyl have to put patients through UNNECESSARY pain & stress when they are about to perform a painful procedure. Without knowing how much this poor lady weighed, 80 - 100mcg of Fentanyl with another 100mcg 'on the ready' would have sedated her & relaxed the muscles long enough to reduce that dislocation in half the time.

[@ChrisDarmaninLRO]

Isaac Vivienne i went through that same procedure but with 14mg morphine i was still screaming with pain. 3 tries while i was fully conscious to put it back and when they didn't manage they put me on general anesthetic. would have been much quicker if they did that in the first place

[@souha4708]

+Chris Darmanin doctors try to avoid general anesthesia !

[@itsyourgirlaly8718]

Isaac Vivienne I think they have to be way more careful with elderly in an altered state of mind.

[@lmellick]

You are right, I have forgotten the specifics. However, I think she had some comorbidities. It may have been that we wanted to avoid having to do a full procedure sedation protocol.

[@dolfinzable]

So glad i found your channel doctor! Thank you for sharing!

[@sutorcreations735]

2:13 I love the guy screaming in the back round

[@superally09]

Interesting, yet quite queasy, to see from the 'outside', so to speak Have done my elbow 3 times in the past 3 months - first 2 reductions were done under sedation whilst the most recent one was with gas and air. Normally have a high pain-threshold but that one really hurt!

[@hakunamatata365]

Why was she bleeding from her AC?

[@anthonyderocco7783]

dr. mellick would re-positioning of the fractured/dislocated extremity in the prehospital setting be indicated if there are no distal pulses present?

[@lmellick]

Most definitely!

[@DarthTwilight]

How much Ketamine did you guys pop her with? She shouldn't have been hurting at all.

[@DarthTwilight]

You ever go with a ketamine/midazolam combo with these type of reductions?

[@lmellick]

DarthTwilight Not consistently, but sometimes we do.

[@lmellick]

Yes, I reviewed the video and we did the low dose ketamine on this patient. This definitely needed supplemental opiates for pain control. Ketamine can be opiate sparing, but looking back, I think we probably would have done better going full dose or using propofol with it.

[@DarthTwilight]

That's why I like the Ketamine/Versed combo. I like to knock em the hell out with an IM macro-dose, then use the Midazolam to control the emergent anxiety. That's just me though. I like to use that combo for a variety of things.

[@souha4708]

some countries don't even use pain meds !

[@lmellick]

Adults and children may have dreams, a floating feeling, flashbacks, alterations in mood or body image. It may be cultural. I've heard from docs using it in New Guinea said their patients came out of the sedation singing hymns.

[@trickster33able]

does the pharmacy have the technices to relocate elbows knees and armbows

[@Ciesiam]

What a fantastic lady. ❤

[@fabmakeup]

I don't know why I like watching this stuff. It's the pop thang I'm waiting. I cringe and this video is like a puzzle how there go to pull it.

[@karlmoody4891]

What?

[@andynguyen3624]

What.

[@VladLongPlus]

They explicitly asked permission from everyone involved and everyone was ok with it being posted on youtube.

[@MarieSyn]

Good job and nice and cute patient ❤

[@EnyaMichael-st5jd]

I have had mine for 6 years and I can't afford to fix it. It's very painful

[@KittyVeron888]

what techniques was it doc? what pain killers was injected? tnx .... just curios .. im a practicing nurse here in ortho dep

[@lmellick]

I'm sure it was morphine and I think we used etomidate.

[@sabrinaless4637]

Hi. :3 My elbow keeps popping and cracking, and I've dislocated it once and gotten surgery on it. Do you think that's normal?

[@th1s1guysays1]

Some guy is cussing in the background @5:40. What was that all about?

[@lmellick]

+TOBI OBITO Don't remember now, but intoxicated types in the ER tend to do that.

[@lmellick]

Yes, a trauma patient several rooms down. Never did find out what he was so upset about.

[@lmellick]

Thank you!

[@DarkNightDreamer]

I'm curious. What's the advantage of giving the Ketamine and the morphine together? Does the low dose of Ketamine help the morphine do its job, or is the Ketamine just there in the mix to sedate her?

[@lmellick]

Ketamine is good but not perfect for pain control. In this case, the ketamine was used to reduce her anxiety.

[@lmellick]

You did, but I revised and shortened the video.

[@essehunshylo1437]

She is so brave

[@abbyarsenault3248]

This exact thing happened to me and I'm 12, I fell off the high bar at gymnastics and my elbow was dislocated at a 220 degree angle, I have the worst kind of dislocation plus I'm double jointed witch makes it 10 times worse. It's so bad that I might need surgery because my tendence were stretched really badly. Because of all this I have to quit gymnastics. I'm in a cast for 1 month then a brace for 3 months then physical therapy for a while

[@jaydev4734]

get well soon.... Never stop working towards your goals , because that's how nature selects the Olympics Gold Medal winner

[@abbyarsenault3248]

Jay Dev thx but i cant ever do gymnastics again

[@lassen4lovers375]

Poor lady! What a trooper she is...when I dislocated my wrist, I swore like a sailor! Called them all heartless bitches, and accused them of working for the Mafia! LOL I was 12 years old then and had just toured Alcatraz. I not only apologized repeatedly after it was done, but brought them all flowers 3 weeks later.

[@granadajason]

I know this is an old video and you have probably forgotten the specifics Dr. Mellick, But- Why was she given a light sedation with low dose Ketamine instead of Propofol? Was it because of the risk factor due to her age? or did she want a 'light' sedation. It seems as though if she were sedated completely from the beginning it would have been a lot easier. Just wondering, These videos rock! but bring back you trumpet skills!

[@Mando-_FE1]

Pay atention after the nurse talks to her and look at her hand she flips off the camera

[@RedMoon198]

I once dislocated my shoulder, and it didn't really hurt that much. About as much as being pinched lightly.

[@lmellick]

Thanks!

[@ajnjb25]

Wow! Another great video!

[@hcl1798]

Where was Doctor's gloves.. Seen blood on an open wound..Must be a trusting physician..

[@11tschmitt]

It looks like she just walked out of a swamp or something

[@alyssarosa7071]

I thought it’s so crazy that this came out in 2012 and I was eight and now I’m turning 20 in two days! I was forget how long has yt has been out lol

[@Rahul-mr8hi]

so much resources but lack of clinical knowledge... in countries like India Drs dnt have resources but deep knowledge which fix such cases in seconds without pain...

[@maximilianocortes5284]

she was strong and brave

[@jopheonholzorf]

The use of sedatives are not necessary in this kind of cases.

[@lmellick]

Probably not. I think this was just her.

[@TheTristangermany]

her face = priceless😂but i do feel bad for her😔

[@cookmautube]

Can you explain Ketamine Emergence Reaction a little better?

[@Hersheychocolate567]

How can you not laugh? Her faces are hilarious.

[@MrBuuchi]

Re-upload? I swear i've seen this lesson.

[@LuisFernandezLuque]

Why dont you blur the patients face? Isn't unethical to show her face unless necessary?

[@hannahbishop8898]

this is what happened to me I broken and dislocated my elbow and I still can't straighten it right after nearly a year

[@leeannting]

That was me last night dislocated my elbow falling off street no one even came to help me up I jump on a taxi to the emergency they put me there to wait for at least 8 hours before putting my elbow back in thru only gave me 4 pain killers tablets.

[@iamaGod357]

who was the guy screaming swear words in the background?

[@lmellick]

Think he was an intoxicated trauma patient.

[@theoryaction]

The mysterious Amber Lamps strikes again.

[@brandondatt2124]

All i have to say is good job

[@Puyuntu]

Achtung, attenzione, be careful. Atención, esta NO es la manera de reducir una luxación de codo. Nunca debe efectuarse una tracción longitudinal con el codo extendido. Peligro de rotura del M. braquial y daño neurovascular. Existen las técnicas de push y pull, ambas con el codo en flexión.

[@vintagemelenium7519]

why black no white ?

[@lmellick]

+Vintage Melenium Many white too. Represents local ER population.

[@brandonchavez9931]

WTF

[@sunflower-mm4wd]

I was unlucky, I dislocated my elbow and have serious fracture :( they don't know whether to operate. I have a cast at this moment. I had a fall down the stairs.

[@dpstutu]

I took a very deep breath as if I was in her place. Unfortunately, mine was broken. :3 Lol.

[@BugattiBoy66]

7:05 i thought she was goin to the light lmao

[@jlkbbk2003]

Nurses, docs, let's all practice together. When the elbow (or shoulder, or knee, or ankle, or etc) is over there when it should be over here, lets try NOT to say, "Ma'am you're going to HAVE to calm down!" or "Relax!"" or terms like that. We can say "If you take some deep breaths try to tough it out for a second" or "if you can help me by holding still for a second," but if mine is out of place and I hurt like hell please don't tell me to relax, or calm down.

[@glorymarrosario8883]

lmao the daughter looked at him like wtf you said?! cuz im black?! lol

[@tmichellemd111]

The Poe-lice and the am-buh-lance

[@amirrizvi3989]

My elbow fracture n removal of radius part of joint now I m on one joint of elbow

[@LittleLostJack83]

he asked if it is ok

[@A.SH96]

8:18 DAT FISH FACE.

[@MrDookieness]

Wow her arm looks twisted and dislocated and crazy

[@tiexxa]

She Kindaa Sounds Like Aunt Hattie From Tyler Perry O_O

[@omarlai227]

Be i bravi dottori ti anestetizzando e non senti alcun dolore.

[@bobs2929]

Very sweet lady.

[@DeRocco21]

maam thank you for allowing the video

[@Shedmit]

Веселая бабка. Funny grandma

[@Co.partner]

So many doctors in the commentary e.e

[@ghostdog7575]

just ry a subanaesthetic dose of K and you'll get the Idea... I was administered a small dose IV and it felt really like they mixed a sedative with a psychedelic and it really felt I was out of my body and visiting the afterlife... and it felt so real and there was that feeling that a ultimate truth was going to be revealed to me.

[@pinkeyjohnson1127]

I was scared to watch this

[@MsBubu900]

I'm done! I'm done!!... Oh My God... I'm done!!!

[@lorrainecarson3072]

[@cloroxbleach5546]

I dislocated my elbow and I got surgery

[@sarathkumara5018]

it is better if it did under proper anaesthesia .

[@glorymarrosario8883]

damn she fucked elbow up pretty good

[@cameronfane1]

it hurts show some proof

[@SebastianFernandez-hc2gy]

I felt pretty bad

[@jas6y]

That shit hurts

[@ayeayeeronnn2925]

Da pulice culled duh ambulance erthing wuz sc8

[@jacobw.singh-rubio7422]

pohleece called the ambolance

[@TV-gz2qw]

어우야..ㅠㅠ 헐머니 소이지를때 깜놀...ㄷ

[@TV-gz2qw]

소리

[@dr.ikhlass4876]

interesting ........... thnx

[@LuisFernandezLuque]

Interesting. I think your experience with this channel can be worth a publication at jmir.org

[@waterspout_the_searainnight]

That happens to my brother

[@AshleyN1993]

i would wanna be famous on you channel!!! lol

[@rino26428]

mines too