If the patient strongly resists traction or if it causes more pain that persists, stop traction and splint in the position it is in. Secure patient to a long board and transport to the closest trauma center. Traction splints applying the ktd traction splint taming. Evaluation of commercially available traction splints for. At last, youll be able to splint routinely in an effective manner in the presenting position more quickly and effectively then ever thought possible. Sts directions for use 2014 study of 4 different traction splints a fascinating read on the history and current state of femoral traction splinting. When applied, sager splint model sx404 is radiolucent to all areas of a femoral fracture. A traction splint is the splint of choice and is to be used only for a painful, swollen, deformed midthigh injury with no lower leg injury.
The dyna med hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years. There are a number of commercially available traction devices. Examiner acknowledges pulses are present and equal bilaterally marks location of pulses 1 adjust splint to proper length using the. Check your nsp catalog for the slishman traction splint listing. If a hare traction splint is used on a 52 person by emts to stabilize a possible femur fracture will transporting the patient to an emergency room. Any material used to support a fracture is known as splint. Hare s splint streamlined the application process and eliminated much of the improvised nature of it.
Check out this lesson for stepbystep instructions on how to a properly apply a traction splint. Fernotrac traction splint emergency medical products. Ct6 leg splint, the kendrick traction device ktd, the reel splint rs, and the slishman traction splint sts. The dyna hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years. The hare traction splint realigns bone ends to the proper position to reduce pain and restore blood flow and to minimize the risk of further. To use or not to use article pdf available in journal of perioperative practice 199. Paramedic psychomotor competency portfolio manual traction. Traction splints applying the ktd traction splint february 14, 2014 jeffery hill, md m. The ischial ring of the traction splint must be against the bony prominence of the buttocks ischial tuberosity. Initial traction with portable traction splint or transosseous pin and balanced suspension evaluation of knee to determine pin placement timing of surgery is dependent on. Hugh owen thomas introduced his splint which he called the knee appliance in 1875.
Adjust splint to length, extending the splint so that the bend is even with the heel of the foot. How to fix forward head posture 3 easy exercises from a chiropractor. The fernotrac traction splint is available in adult and pediatric sizes, or as a kit, and includes carrying case. Examiner acknowledges pulses are present and equal bilaterally marks location of pulses 1 adjust splint to proper length using the uninjured leg 1 positions splint at injured leg 1. Hare traction splint skill sheet check off sager traction splint skill sheet check off discuss treatment management for an avulsion or amputation p. The hare traction is the one found in the sru and in many emergency departments throughout the world.
The reel splint immobilizer delivers on all these, and many more, timehonored splinting practices. Hare traction splint, the original traction splinting device, realigns a fractured femur to its proper position. Used for fracture of the upper bone of the leg the femur. Initial pull causes discomfort for the patient, but this should subside quickly. The dyna med hare traction splint effectively realigns a fractured femur to its proper position, reducing pain and restoring perfusion to an injured leg.
Sager traction splints are indicated in 93% of all femoral fractures treats midshaft and proximal third fractures. The company he founded, dynamed, still proudly makes the splint. If the leg is elevated at all, manual traction must be applied before elevating the leg. It also inhibits further hemorrhage and additional nerve, vascular, bone and muscle damage. Applies application of manual traction 1 assesses motor, sensory, and circulatory function in each extremity 1 note.
Ed immobilization of midshaft or distal femur fractures is thought to decrease pain for the patient during transport and to decrease the amount of bleeding and hemorrhage. Application of model s301, super sager form iii single leg traction splint is similar to that of its bilateral cousin model s304. Children under the age of 2 years should be evaluated for evidence of nonaccidental trauma child abuse. Requires two responders one to hold traction, one to apply. Inhibits further hemorrhage and additional nerve, vascular, bone and muscle damage. Skill drill 301 performing manual inline stabilization. Hares patent on the splint expired, the market was inundated with similar products, marketed as haretype traction splints, leupold said.
If a hare traction splint is used on a 52 person by emts. Femoral shaft fractures orthopaedic trauma association ota. 2958 september 2009 with 3,601 reads how we measure reads. Resuscitation of patient other injuries abdomen, chest, brain isolated femur fracture. However, the unilateral nature of the s301 requires that when positioning the splint, the traction pulley wheel be placed on. Sam slishman at the university of new mexico to overcome many of the the operational difficulties of older traction splint designs. Applies appropriate mechanical traction positionssecures support straps reevaluates proximaldistal securing devices reassesses motor, sensory and circulatory functions in the injured extremity secures patient to the long backboard to immobilize the hip secures the traction splintlegs to the long backboard to prevent movement of the splint. This is in contrast to other methods using weight traction which is countered by the weight of the.
A wide variety of hare traction splint options are available to you, there are 28 suppliers who sells hare traction splint on, mainly located in asia. A traction splint most commonly refers to a splinting device that uses straps attaching over the pelvis or hip as an anchor, a metal rods to mimic normal bone stability and limb length, and a mechanical device to apply traction used in an attempt to reduce pain, realign the limb, and minimize vascular and neurological complication to the limb. Open and position the velcro straps along the splint. Traction application of a pulling force to an injured or diseased part of the body or an extremity while a countertraction pulls in the opposite direction. The dynamed hare traction splint has defined the industry standard for field treatment of a fractured femur. Musculoskeletal injuries splinting inhs health training. Hare traction splint application use this if applying a hare traction splint ankle hitch applied to injured extremity some textbooks and videos show this after pulling manual traction emt has partner pull manual traction and maintains till traction splint is applied. Since the 1980s the hare as i will simply refer to it, became the standard in ems and a staple in emt training programs.
The method of hugh owen thomas uses fixed traction with the counter traction being applied against the perineum by the ring of the splint. Its onepiece design makes application fast and easy. A traction splint is a special type of leg brace used for fractures of the long bone in the thigh. The purpose of this study was to determine the differences between the four commercially available traction devices sold to the u. An unstable hip would not provide a proper base to apply traction and is also indicative of possible lifethreatening internal bleeding. When we take it out of the bag, it looks something similar to a torture device. Dyna med hare traction splint the dyna med hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years. Traction splints provide a counterpull to reduce the size of the thigh and realign the fractured femur. An xray of the femur is negative but the patient is in the splint for roughly 5 hours and soft tissue injuries are evident. This helps reduce blood loss, alleviate pain and minimize further injury. Simple, stepbystep instructions are sewn directly on the straps. These results were achieved while also scoring good subjective. The dynamed hare traction splint effectively realigns a fractured femur to its proper position, reducing pain and restoring perfusion to an injured leg. There are several different types of commercially made traction splints available.
The candidate should be awarded one 1 point as if manual traction were applied. It is significantly more compact and lighter than the. Three of the commercial traction splints were applied to the volunteers by one of the principal investigators following the instructions provided by the manufacturers of the devices. A recent study of the hare traction splint showed that 30 minutes after application only half of the initial traction force remained. Dress any open wounds on the leg before applying the traction splint. How to fix forward head posture 3 easy exercises from a chiropractor duration. After standardized instruction, subjects were timed and evaluated. Traction splinting new york state department of health.
Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage. They include the wlc, ct6, fastset3, el3000, pst and many more. However, the unilateral nature of the s301 requires that when positioning the splint, the traction pulley wheel be placed on its side and towards the injured limb. It is contraindicated, meaning you dont want to use it to use a traction splint if the injury is close to the knee or is the pelvis, hip, or lower leg are involved. Skill drill 296 applying a vacuum splint skill drill 297 applying a hare traction splint skill drill 298 applying a sager traction splint skill drill 299 splinting the hand and wrist. Temporary immobilization of sprains, fractures, and reduced dislocations control of pain prevention of further soft tissue or neurovascular injuries 4. Hare traction device verify that the ischial pad is against the ischial tuberosity. It aids in effectively realigning a fractured femur to its proper position, reducing pain and restoring perfusion to an injured leg. If the sagar splint or the kendricks traction device is used without elevating the patients leg, application of manual traction is not necessary. The hare traction splint is still one of our bestselling products, a standard in the industry, said larry leupold, dyna meds senior vice president and mr. Before applying any splinting device, we always want to check csm, circulation, sensation, and movement distal to the injury. In this video, we will learn how to apply the traction splint. General principles of inline traction splinting grasp the foot or hand. As you perform your survey of the casualty, cut or tear the pants leg to expose the injury and locate the site of the fracture.
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