How should a suspected shoulder dislocation be immobilized?

• A. Apply a padded splint with the arm extended behind the back.
• B. Apply a sling and swathe or padded rigid splint to immobilize the shoulder in a comfortable position.
• C. Hold the arm against the chest and perform gentle traction.
• D. Keep the arm free to move to assess pain.

Answer: (B)

Immobilize the shoulder with a sling and swathe or a padded rigid splint to hold the arm close to the body in a comfortable position. This supports the forearm and upper arm, minimizes movement of the shoulder joint, reduces pain, and protects soft tissues while transport is arranged.

Moving the arm into an extended position behind the back can create pressure points and unstable alignment. Attempting gentle traction can worsen the dislocation or damage nerves and blood vessels. Keeping the arm free to move offers no protection and often increases pain and risk, so it’s not appropriate to leave it unimmobilized.