Check your nsp catalog for the slishman traction splint listing. How to survive alone in the wilderness for 1 week eastern woodlands duration. Traction splints, pediatric traction splint emergency. 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 damage to nerves or. Sam slishman at the university of new mexico to overcome many of the the operational difficulties of older traction splint designs. 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. The mean ages of the participants in the simple and traction splint groups were 29 14. Radiolucent design enables xrays and catscans to be taken without.
Traction splinting new york state department of health. Kendrick ems manufacturer of medical traction devices. When applied, sager splint model sx404 is radiolucent to all areas of a femoral fracture. The ischial ring of the traction splint must be against the bony prominence of the buttocks ischial tuberosity. We have used these for years on ski patrol, but their compactness and ease of use is quickly. Products emergency and rescue immobilisation traction splints traction splints. Apply ankle hitch tightly around the leg, slightly above the ankle bone as pictured. 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. 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. If the leg is elevated at all, manual traction must be applied before elevating the leg. This is immensely painful for the patient, and thus adequate analgesia is essential.
Shaft of femur fracture splint traction management guidelines. Apr 01, 2011 application of a kendrick traction device to a femur fracture. Evaluation of commercially available traction splints for. Tighten stirrup bypulling green tabbed strap until snug under heel. The foot and ankle can be held, and the leg pulled out to anatomical alignment and held in position. Traction splints should be that all straps and the ankle hitch are present entire splint is assembled and ready for use. There was no significant difference in pain intensity immediately after splintingbetween the two groups p 0. 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 splint legs to the long backboard to prevent movement of the splint. Application of a kendrick traction device to a femur fracture. As such, they have a much broader range of application and use than other traction splints. Thomas during the first world war, included the use of the device for femur fractures resulting from gunshot wounds, which by definition are open fractures. Whilst kit is being assembled, the leg can be held in traction by any member of the team. The kendrick traction device ktd is an intelligent compact traction device for splinting lower extremities. Any break in a bone, no matter whether the skin has been broken, is a fracture.
Used for fracture of the upper bone of the leg the femur. Apr 29, 2020 a traction splint is a medical device used to apply a constant pulling action along the length of a lower extremity for stabilization of a fractured bone and to help reduce muscle spasms in the limb. Thomas during the first world war, included the use of the device for femur fractures resulting from gunshot. Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage.
Step 6 finish packaging byapplying upper thigh andlower ankle elastic straps, asshown. Original use of the traction splint, first popularized by dr. The kendrick traction device ktd eliminates the need for legraising and unnecessary. It has been found to be both extremely effective and easy to use. Femoral traction splints in mountain rescue prehospital. Line2design adult traction splint 4 leg straps effectively reducing pain. Injury, 6, 165168 165 wrinkle corner the thomas splint a quick method of application j. A third patient was also excluded after a diagnosis of floating rib fractures. Wide elastic support straps maintain the injured leg within the frame of the splint, helping to provide inline mechanical traction. Traction splints should be checked to see not only that all straps and the ankle hitch are present in the bag, but that the entire splint is assembled and ready for use.
Check out this lesson for stepbystep instructions on how to a properly apply a traction splint. The information included below is designed to be used as a guide for an ischial type traction splint. Femoral traction splints in mountain rescue prehospital care. Pdf to investigate whether a traction splint made from improvised materials is as efficacious as commercially available devices in terms of. Prometheus traction splint specialist emergency medical. The prometheus traction splint is designed to be used on those patients with a suspected limb fracture. Place traction pole alongside the leg so that onesection of tubing 8 extends beyond the bottom of the foot. Here in ny state, whatever type or brand traction splint, contraindicated to use for fx leg if possible tibfib involvement. Traction splints applying the ktd traction splint february 14, 2014 jeffery hill, md m. Stamina inline back stretch bench with cervical traction. Management of a midshaft fractured femur in the field and use of the kendrick traction device. Hugh owen thomas introduced his splint which he called the knee appliance in 1875.
We have used these for years on ski patrol, but their compactness and ease of use is quickly ma. The application of thomas splint traction should be carried. The history of traction splinting ski patrol buyers. Make sure ihat each olnt of pole issecurely seated. Recm 0024 immobilization and splinting in mountain rescue. Complications included pressure sores,11 compartment syndrome,12 peroneal nerve palsies, and urethral injury. A traction splint is a special type of leg brace used for fractures of the long bone in the thigh. Simply press the button release latch and rotate the splint until the traction cable is on the same side as the fractured femur. Theres a partial amputation or avulsion with bone separation and the distal. Hares patent on the splint expired, the market was inundated with similar products. Complications of skeletal traction pin wire tract infection effects of prolonged pull on ligaments pressure sores difficulty in application of splints 41. Our traction splints meet the needs of ems specialists and patients worldwide. The system is made up of a folding snap out aluminum pole, color coded elastic leg straps, adjustable ankle hitch, and adjustable groin strap.
The line2design child traction splint effectively realigns a fractured femur to a proper position, effectively reducing pain, restoring profusion and inhibiting vascular, nerve, bone and muscle damage. The sager is a unipolar traction splint, which means it uses one external pole to support the injured leg. Paramedic psychomotor competency portfolio manual traction. Traction splints applying the ktd traction splint taming.
Application of a traction splint, however, is a somewhat uncommon, and therefore potentially unfamiliar, procedure. 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. Evaluation of commercially available traction splints for battlefield use. Sts directions for use 2014 study of 4 different traction splints a fascinating read on the history and current state of femoral traction splinting. Redden senior house officer in iveurosurgery, derbyshire royal infirmary summary a method of applying fixed traction for the treatment of fractured shaft of femur is described. If the sager splint, kendrick traction device or other similar devices are used without elevating the patients leg, application of manual traction is not necessary. Kendrick s other devices for extrication include the k. Started in 1995, this collection now contains 6769 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. 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. The prometheus traction splint is indicated for use on suspected limb fractures.
Displaying traction splints results 1 to 12 of 12 single pole traction device. A closed midshaft femur fracture with no injuries to the proximal hip or distal leg, including knee using either the hare or sagar traction device, place the traction splint on the patient to immobilize the fractured femur. The ktd kendrick traction device eliminates the need to roll the patient or raise the leg during application. To accomplish this, the s301 outer shaft must be disconnected from the articulating base and cushion. The ktd kendrick traction device is a femoral traction device that is small and compact enough to fit in a first aid kit yet adjusts to treat both adult andpaediatric patients. Traction and saager splint contraindication education. This is in contrast to other methods using weight traction which is countered by the weight of the. A comparison between the effects of simple and traction.
Mar 16, 2015 mode of skeletal tractions fixed traction counter traction applied by the splint sliding traction wt of body acts counter traction 39. Emt has partner pull manual traction and maintains till traction splint is applied places splint next to uninjured extremity and adjusts splint and locks to proper length and prepares straps distal end of splint extended approximate 810 inches from the heal of the foot. Hare traction splint, the original traction splinting device, realigns a fractured femur to its proper position. There are several different types of commercially made traction splints available. The dynamed hare traction splint has defined the industry standard for field treatment of a fractured femur. There were 4 articles that described single case studies with complications directly caused by traction splint use. Sam splints wilderness medicine training center home. The noninjured leg should be used to measure the length of the traction splint. At last, youll be able to splint routinely in an effective manner in the presenting position more quickly and effectively then ever thought possible. This may be done with a continuous rope and a number of pulleys simple or with two different weights, one for the leg and the other for thigh suspension portion split. 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. Emtb practical examination coordinator use only pass. This required slow and steady application of the splint, being careful not to move the leg while measuring the splint, then applying traction in the proper way, carefully sliding the splint under. Common cents ems supply is a proud distributor of these products.
The traction splint should be adjusted to 12 inches longer than the noninjured leg. The prometheus traction splint comes complete with a pole, ankle hitch, lower leg strap, lower thigh strap fitted to pole and an upper thigh strap. Fernotrac traction splints length adjustments can be made by loosening the knurled sleeves on each side of the tubular aluminum frame. In 1961, the american college of surgeons recommended that traction splints be included in every ambulance in the united states. Any material used to support a fracture is known as splint. Line2design traction splint childpediatric portable lightweight immobilization emergency first aid splint with carrying case patient transport adjustable ankle straps line2design extrication collar bag ems first aid medical ambulance supplies rescue equipment lightweight heavy duty portable travel size neck support cervical collars. Traction splints are recommended on all midshaft femur fractures to. Results for traction splint 1 10 of 49 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download export csv export ris 10 per page 50 per page 100 per page 250 per page. The traction splint group consisted of 34 subjects among whom twodid not consent to continue. Requires two responders one to hold traction, one to apply.
The candidate should be awarded 1 point as if manual traction were applied. Sager emergency fracture response system sefrs sager infant bilateral splint. Line2design traction splint childpediatric carrying case adjustable ankle straps product description. The method of hugh owen thomas uses fixed traction with the counter traction being applied against the perineum by the ring of the splint. Admit i keep hearing debate if contraindicated when open femur fx, due to possibility of infection, other side of the coin is to use, and have antibiotics for possible.
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. Femoral fracture is a common battlefield injury with grave complications if not properly treated. The reel splint immobilizer delivers on all these, and many more, timehonored splinting practices. Historically the absence of pre hospital treatment of fractured femur has led to undesirable nerve and vascular complications. The prometheus traction splint pts was created with valuable input from endusers and has built in features that are an advancement on the traction splints currently available on the market. What are the indications for the use of a traction splint. Temporary immobilization of sprains, fractures, and reduced dislocations control of pain prevention of further soft tissue or neurovascular injuries 4. Line2design traction splint childpediatric portable lightweight immobilization emergency first aid splint with carrying case patient transport adjustable ankle. Dress any open wounds on the leg before applying the traction splint. Pressure problems are not an issue due to the ktd kendrick traction device not using an ischial bar. The reductions were significantly more in the traction splint group at the 1st, 6thp 0. Sager traction splints are indicated in 93% of all femoral fractures treats midshaft and proximal third fractures. Traction device e g step 1 f snap out traction pole. Emtb practical examination coordinator use only pass fail.
What links here related changes upload file special pages permanent link. The reductions were significantly more in the traction splint group at the 1 st, 6 th p 0. Takes, or verbalizes, body substance isolation precautions. Casts, splints, dressings, and traction flashcards quizlet. Immobilization skills traction splinting start time. Mode of skeletal tractions fixed traction counter traction applied by the splint sliding traction wt of body acts counter traction 39.
If the splint is to be in place for more than an hour or two add additional padding. A traction splint most commonly refers to a splinting device that uses straps attaching over the. A traction splint is a medical device used to apply a constant pulling action along the length of a lower extremity for stabilization of a fractured bone and to help reduce muscle spasms in the limb. Kendricks other devices for extrication include the k. Icar medcom guidelines number 18 international commission. The prometheus traction splint pts was created with valuable input from endusers and has built in features that are an advancement on the traction splints currently.
Extrication devices, such as the kendrick extrication device. Proper use can decrease the pain and damage caused by the fracture. This article highlights the different types of splints and casts that are used in various circumstances and how each is applied. Hare, sager, kendrick, ct6, donway, and slishman traction splints.