Is the shoulder still dislocated? Many consultations about shoulder dislocations follow failed attempts by other providers. Speedy reduction limits neurologic and chondral injury, and delays can make reduction attempts more difficult because of spasm.

Is the dislocation acute or chronic? Attempting reduction of a chronically dislocated shoulder may cause serious injury to periarticular structures including the surrounding nerves, rotator cuff, bony structures, and even axillary artery/vein.

What types of reduction attempts have already been made and what adjuvants have been used? You will usually not repeat these if they have been correctly attempted already.

Can the patient safely be consciously sedated? If less involved methods have been tried and have failed, this is often the go-to for a swift and safe reduction.

What is the neurovascular exam? Axillary nerve palsies are common and should be identified early.

Has the patient dislocated their shoulder before? Repeat dislocaters often have structural problems in their shoulder that need to be fixed to prevent recurrence.

Does the patient dislocate voluntarily? There may be secondary reasons for the patient’s current dislocation.

Patient should be sitting upright and be placed in a sling until your arrival.

Analgesia with or without an anxiolytic/antispasmodic for comfort.

Reduction adjuvants as required by the chosen methodology (see “What to Bring” and “Reduction”).