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How To Reduce a Radial Head Subluxation (Nursemaid Elbow)
Aftercare for Nursemaid Elbow Reduction
The child may cry for a few minutes after successful reduction; analgesia is unnecessary. Leave the room to allow the child time to start using the arm. Nearly all children will start using the arm spontaneously or in response to an offered toy or snack within 30 minutes. If the child does not move the arm after 30 minutes,formulate a care plan in concert with the parents, choosing among options such as Attempting reduction a second time Discharging patient and the family to home, with instructions to return (or see the family doctor) if the child is not using the arm fully upon arrival Obtaining an x-ray of the elbow prior to discharge Note the following: Immobilization is not required after successful reduction. Instruct caregivers to use the axilla when picking up the child. 