[Shoulder dislocations in and outside of the doctor's surgery]. / Management von Schulterluxationen in und außerhalb der Arztpraxis.

In over 95 % of shoulder dislocations, the humerus is displaced anteriorly, a trauma regularly seen in skiing- and mountainresorts. All physicians should be trained to diagnose and relocate a dislocated shoulder. A variety of techniques exist, but some are preferred due to fewer complications or easier execution. In the Bernese Alps, the self-relocation technique "Davos" (Boss-Holzach-Matter) and the "Baumann" technique are well established and well approved over the years - in the outdoors as well as in the surgeries.

[Management of frostbite in and outside of the doctor's surgery]. / Management von lokalen Kälteschäden in und außerhalb der Praxis.

Frostbite is most likely to happen in combination with accidents, intoxications or psychiatric emergencies and typically affects smaller, more exposed areas of the body, such as fingers, toes, nose, ears, cheeks and chin. The preclinical treatment consists of rapid rewarming of the injured tissue in a water-bath that is held between 38 - 42 °C (hand-hot) in a stable, warm environment. A new clssification allows a faster assessment of the outcome. New retrospective studies suggest the efficacy of thrombolysis or prostacyclin analogues against spasm and thrombosis for a better outcome.