Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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Anterior shoulder dislocation (ASD) is a common presentation in emergency departments, yet there is no national guidance on the use of sedation or analgesia. This article gives an overview of the aetiology and treatment of ASD, and reports the results of a literature review on best practice for timely and appropriate treatment of patients with ASD, and the effect of sedation on patient transit times
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Despite research suggesting that the Glasgow Coma Scale (GCS) has limitations, its results are regarded as the gold standard in assessments of patient consciousness levels. This article discusses and evaluates the GCS, and reviews the literature on the advantages and limitations of the tool, and considers whether the Lowry Coma Record (Lowry 1999) should be used instead.