Observational review shows prehospital manipulation reduces limb injuries, suggesting improved pain management strategies.
In this observational HEMS cohort selected for a trial of IMF, just over half of patients with acute traumatic limb injuries underwent prehospital manipulation and reduction without escalation to intravenous procedural sedation. Older age, pre-reduction analgesia, and patella injury were associated with success, but these findings are non-causal and should be interpreted cautiously.
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Dowsing et al. (2026) studied this question.
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