In a wilderness context, what should a WFR be trained to do regarding dislocations?

A Wilderness First Responder (WFR) is trained to reduce certain dislocations, specifically those of the shoulder, jaw, fingers, toes, and patella, as these can sometimes be addressed safely in a wilderness setting with proper technique. This skill is particularly important because dislocations can be quite painful and may potentially cause further complications if left unaddressed. Reducing a dislocation involves carefully maneuvering the affected joint back into its proper anatomical position, which can alleviate pain and prevent further injury.

When performing this procedure, the WFR must have a sound understanding of the anatomy involved and the mechanics of the dislocation, to perform the reduction safely. It's also critical to assess for any signs of neurovascular compromise before and after the procedure. This allows for proper monitoring of the limb to ensure that blood flow and nerve function are intact.

Although stabilizing the area, applying ice, and referring to a hospital may be appropriate actions in certain contexts, the ability to reduce dislocations is a key skill that adds to the WFR's capacity to manage injuries in the wilderness effectively. It emphasizes that in some situations, timely intervention can aid in immediate pain relief and enhance the likelihood of a good outcome for the patient.