injuries poisoning
How To Reduce a Radial Head Subluxation (Nursemaid Elbow)
Step by Step Description of Nursemaid Elbow Reduction
Do a pre-procedure examination of the affected arm: Neurovascular examination includes assessing distal pulses and capillary refill. Palpation of surrounding areas for tenderness may suggest additional injury. Face the child and hold the affected elbow in the palm of one hand, placing your thumb over the radial head. Hold the wrist in your other hand, with your thumb and fingers on opposite sides of the wrist. Explain to the caregiver that the technique will cause transient pain. Maintain the elbow at 90° of flexion. For thehyperpronation technique, rapidly hyperpronate the forearm. Some experts recommend further flexion of the elbow immediately after hyperpronation. For thesupination-flexion technique, using one continuous motion, rapidly and firmly supinate the forearm, then fully flex the elbow. Listen for a click or a palpable pop at the radial head, which may accompany a successful reduction. 