Replacement Strap, Ankle, Adult, For Hare Traction Splint Made in the USA. What is the purpose of a traction splint? The Hare traction splint can be applied by two people. The 2019. They consist of other injuries or fractures that could sustain further damage from traction. Howard, Ian Lucas 0000003835 00000 n she still had good PMS 30 minutes later, when we dropped her off. Unfortunately, when it comes to removal, there are very few guidelines out there. And who ends up doing it? (4) Twist the center strap until it is even with the two side straps, all three straps can be firmly grasped, and the three "D" rings at the end of the straps are together (see figure 3-2). After, the strap is applied, your hands should be over the "X. (4) Position the fourth leg support strap so it will secure the lower leg above the ankle. Indications Suspected femur fracture Contraindications The injury is within 1-2 of the knee or ankle The knee is injured The hip is injured The pelvis is injured It maintained bipolar traction with two steel rods on both sides of the limb. Splint application was attempted in 3, and only 2 were successful. l. They consist of other injuries or fractures that could sustain further damage from traction. Apply the support straps under calves, knees, thighs. Thats because it isnt there! Most importantly, there is really only one indication for applying a traction splint to the femur: an isolated, relatively mid-shaft femur fracture. So why does failure to record physiologic data translate into higher mortality? IV. Baez, Amado A. Background: Femoral fracture is a common battlefield injury with grave complications if not properly treated. In Stock. Item #600220. endstream endobj 917 0 obj <>/Filter/FlateDecode/Index[29 848]/Length 48/Size 877/Type/XRef/W[1 1 1]>>stream All writings, discussions, Pillay, Yugan In the 1960s, Glen Hare developed Hare traction splint, modifying full ring Thomas splint into half-ring splint by incorporating a ratchet mechanism with additional length adjustment mechanisms and improving the ischial pad. A total of 4744 patients from the National Trauma Data Bank were analyzed. (2) Slip the three "D" rings over the free end of the "S" hook. Indications. Prepare splint [1]. 0000002878 00000 n Traction splinting has been the prehospital treatment of midshaft femur fracture as early as the battlefield of the First World War (1914-1918). I moved the blog to another site off of Tumblr several years ago. Have the assistant release the ratchet, pull the traction strap over the top of the ratchet, and place the "S" hook so the hook hangs off the splint. Do not tighten the strap tight enough to impair circulation. To ensure even-handed application of best practices, our state trauma systems are going to have to step up and address this issue so the right patient will get to the right hospital at the right time, safely and cost effectively. %%EOF Support the Lower Limb. 2017;32(6):631635. If I flew in a BK, sure, we could put one on if we had time. EN. . Check the casualty's distal pulse. Femoral traction devices have been around for a long time. Contraindications Fractures of ankle or foot However, there are two scenarios when applying traction to an open femur fracture is warranted: Bottom line: Treat traction splints with respect. . The device has a traction unit at the ankle that should be applied first, before placement of the actual splint under the patient. Obtain the Hare traction splint set. Explain the procedure to the patient. Ankle hitch applied to the casualty. You are using an out of date browser. II. Inappropriate application Of the 10 studies included, seven discussed the application of the traction splint. The poor radiographic tech, who has no training in fracture immobilization and cant provide additional pain control on their own. did not have a traction splint. Category: Splints. Trusted by major EMS agencies including Boston EMS, Dallas Fire-Rescue, LA County Fire, and FDNY. Hare Traction Splint Indications And Contraindications (1 products available) 1/6. 0000005696 00000 n and e. Hare Traction Splints. The researchers speculate that documentation might be a good global measure of appropriate or inappropriate prehospital care that rolls all of these possible factors into one easily identifiable audit filter. Free Shipping Orders Over $100 Packaging. Femoral traction devices have been around for a long time. Uses a regional dispatch system. Proper splinting increases arterial blood flow, decreases pain and spasm, and lowers the risk of further injury from bone fragments. Intravenous analgesia was administered to treat pain in only 35 (22.0%) of the patients who had obtainable IV access. and publications on this website are unclassified. 0000072643 00000 n However, there are a few more contraindications: What about the open fracture scenario? o. 37 unfortunately, such comorbidities are common with severe wilderness injuries, which makes it impossible or dangerous to anchor the traction splint. The initial response may be that the patient was sicker, and so they needed more intense care during transport with less time to record vitals. It reduces pain, bleeding, and soft tissue injury, and can keep a closed fracture from becoming an open one. Instruct the assistant in his functions and provide help as needed. Of 134 blunt trauma patients, 50 (37.0%) were immobilized in traction, and of the 36 penetrating trauma victims, one (2.7%) was immobilized in traction. Not saying that anything is wrong with it though. 0000010553 00000 n The Trauma Professionals Blog has officially moved! Cant the splint degrade x-rays and hamper interpretation of the fracture images? Examples are the Hare, Sager, and Lots splints. They recommend that this be used to focus performance improvement efforts and hopefully improve survival. f. Injury Severity Score was the same. There were 170 patients studied in the cohort. Other issues that may be a factor are EMS training and proficiency, leadership at the scene and enroute, and available staff and resources, among other things. The ischial ring of the splint should be seated where the thigh joins the buttocks (on the ischial tuberosity). Hare Traction Splint. I have used it only a couple of times for isolated injuries.If they are in a bad car wreck or fall.Time is Golden as we all know. FernoTrac Splints (splints) are traction splints designed to immobilize and provide traction for a patient's leg. The one patient I have ever had with a broken femur also had knee involvement and it was contraindicated. Render date: 2022-12-12T01:32:46.646Z There are no contraindications. Does volunteering as an EMT replace hospital volunteering? Be sure to register now if you want to get continuing education credit for it! c. noted, do not necessarily reflect the views of the Brookside Associates, Replacement Strap, Ankle, Adult, for Hare Traction Splint. and No patient should leave your trauma resuscitation room without splinting of all major fractures. Ltd., or any governmental or private organizations. and His pain diminished considerably. This is a retrospective study of patients who sustained a midshaft femur fracture in the absence of multiple other severe injuries or severe physiologic derangement, as defined by an injury severity score (ISS) <20 and a triage revised trauma score (T-RTS)10, who presented to an urban, Level 1 trauma center between September 2008 and September 2013. 6- 28 TRACTION SPLINTING NOTE: A traction splint is the splint of choice and is to be used only for a painful, swollen, deformed mid-thigh injury with NO lower leg injury. limb. Ludick, Beverley Dawn Stabilize the Injured Leg. Philipsen, Sarah P.J. but, if you are in an aircraft and can't then i guess you can't, but I think you would agree that most of EMS is done on the ground. The company that makes the Hare traction splint gives the sole indication as a suspected femur fracture, and the sole contraindication as an open femur fracture. Total loading time: 0.217 0000010761 00000 n Have the assistant adjust the telescoping splint to the right length and lock the rod in place using the following steps. accurate record of scene physiology (SBP, HR, RR, GCS), request by on-scene BLS for ALS assistance, Must utilize standardized field triage guidelines that should be applied consistently throughout your, Is blind to the insurance status of the patient. hb```b``}k @Q @re ^8``X\*9-QpBEsJddv&EnL3tBEuz99=&89H].-$QpQ@&3 (1) Have the assistant move to the ankle hitch and hold the traction straps again so that the three "D" rings are together. The metal splint has a stirrup that lifts the splint off the ground. Close this message to accept cookies or find out how to manage your cookie settings. Position the Splint. Position at medial side of injured leg. My advice is tohave your orthopedic surgeon evaluate as soon as imaging is complete. Femoral traction splinting may reduce pain and bleeding. Although your friendly techs, radiologists, and orthopedic surgeons may moan, it wont hurt their ability to make decisions on the images. Both the Sager and Hare traction splints apply that opposite force to the pelvis through either the Ischium or the pubic rami. UPC 687299469062 . Self-launch should never happen. 3020-27010. One reader has asked about thetiming of removalof these devices after they arrive at the hospital. Apply manual stabilization Place the bottom edge of the heel even with the lower edge of the sponge padding as shown in figure 3-1. Click here or go to www.thetraumapro.com/ask. These cases were less likely to involve penetrating injuries and more likely to involve car or motorcycle crashes. Have the assistant perform the following steps. Lower Leg Into Splint. Keep the top of the splint even with the ischium (the lower bone of the pelvis). Have used it.but not any more..a couple hundred mcgs of fentanyl usually does the job. These injuries have a high mortality rate and are often associated with multi-system injury [7,14]. The views expressed here are those of the authors, and unless otherwise (2) Place padding around the groin area and where the ischial strap will cross the thigh. Putting them in traction often eliminates much of the pain so you don't have to give them as much narcs. 0000047748 00000 n Measure CSM and verbalize no contraindications. 2022. Indications Femoral shaft fracture Femoral traction splints are used to stabilize femur fractures prior to definitive care (eg, operative fixation). Indications A suspected or obvious isolated fracture of the midshaft femur is an indication for traction splint. Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. Inventory Management Solutions. 0 back in the day we used to use mast pants with a hare traction splint over them to stabilize femur or hip fx. Compare. All of my content is housed there, including a lot of material that never made its way to this site. Additional exclusions were made in any prehospital care report that documented contraindications to the placement of traction: suspected fracture or injury to the pelvis, knee, lower leg, ankle, and/or foot. However, there are a few more contraindications: Please change your bookmarks so you can take advantage of the extra features found only on TheTraumaPro.com. But what about imaging? However, the researchers controlled for this and found it was not a factor. Used it several times - all MVCs. The Hare traction splint might split part of that applied force through the proxmial femur, but . The QD-4 splint will adjust to accommodate pediatrics and adults. NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. You could see the spasms yield as we cranked on it. -Compare to original findings and note any changes. Examples are the Hare, Sager, and Lots splints. Specifically, these include: I did find one interesting study from 1999 that looked at how useful these splints really were. transport from an e.r. In any case,the objective is to minimize the total amount of time in the traction splint to avoid any further injury to other structures. Content may require purchase if you do not have access. You must log in or register to reply here. The innovative STS design has the traction mechanism positioned at the patient's hip. What are contraindications for a traction splint? And in all cases, the splint should also be replaced immediately at the end of the study. it worked, but caused the strap to push down on the foot. They found that 38% of patients had contraindications to traction use, most commonly a concomitant pelvis fracture. Most importantly . It maintained bipolar traction with two steel rods on both sides of the limb. In my mind, this is a bit too simplistic. If the strap. Questionable boast of an indispensable tool, American Academy of Pediatrics, American College of Emergency Physicians, American College of Surgeons Committee on Trauma, et al, Transient peroneal nerve palsies from injuries placed in traction splints, Thomas splint, calcaneus fracture, and compartment syndrome of the foot: a case report, Prehospital mid-thigh trauma and traction splint use: recommendations for treatment protocols, Femur fracture immobilization with traction splints in multi-system trauma patients, Significant rate of misuse of the hare traction splint for children with femoral shaft fractures, Early versus delayed application of Thomas splints in patients with isolated femur shaft fractures: the benefits quantified, A comparison between the effects of simple and traction splints on pain intensity in patients with femur fractures, The Thomas splint--a necessary tool in the management of battlefield injuries, National Association of Emergency Medical Technicians, American Academy of Orthopedic Surgeons, (AAOS), Nancy Carolines Emergency Care in the Streets, Population-based epidemiology of femur shaft fractures. (3) Tighten the traction strap to provide enough traction to maintain the limb's alignment (see figure 3-5). 0000075619 00000 n (3) Pull on the lower part of the splint until the bottom of the splint is 8 to 12 inches beyond the bottom of the casualty's foot. are people still using them for anything other than stabilization of multiple lower leg/pelvic fractures? In my mind, this is a bit too simplistic. d. Stabilize the Injured Leg. However, if its not covered by them, or you are getting concerned that the patients (or their legs) wellbeing is at risk, do the right thing! It was invented by Dr. Hugh Owen Thomas . The most common physical exam finding was a deformity +/- shortening and rotation in 136 patients (80.0%), followed by gunshot wound (GSW) in 22 patients (13.0%), pain or tenderness in four patients (2.4%), and no findings consistent with femur fracture in three patients (1.7%). Trauma Center PI programs should work with EMS to analyze this data and look for the patterns that increase mortality. NOTE: Traction and lift can be applied by leaning back. Physiologic data: About 28% had at least one missing physiologic data point, with respiratory rate being most commonly missed. (Log in options will check for institutional or personal access. 0000010930 00000 n A fracture in which the bone has broken completely and pierced the skin Why would you NOT want to use a traction splint with exposed bone ends? (1) Make sure the ischial ring is seated on the ischial tuberosity. Mobilization splints using elastic traction are used to minimize joint contractures, to position joints, or to aid in postoperative positioning. The company that makes the Hare traction splint gives the sole indication as a suspected femur fracture, and the sole contraindication as an open femur fracture. Have the assistant open all five straps and position the four Velcro support straps in the following positions: (1) Position the first leg support strap (first strap below the ischial strap) so it will secure the thigh above the fracture site. Other issues that may be a factor are EMS training and proficiency, leadership at the scene and enroute, and available staff and resources, among other things. Obtain Splint. Three studies used more than one type of traction splint, three exclusively used the Hare traction splint and two used the Thomas traction splint (Table 1). Have the assistant perform the following steps. } I think it is great for helping to relieve pain of the bone fragments pulling towards one another by the huge hamstring and quad muscles. There are several contraindications to the use of traction splints: -The patient has an open fracture -The patient has a suspected spinal injury -The patient has a suspected pelvic fracture -The patient has a suspected hip fracture -The patient has a suspected femur fracture -The patient has a suspected knee fracture Part 2: Metal Splints - Can You CT Scan Through Them? %PDF-1.4 % Quantity. This study is the assessment of these injuries and the utilization of a traction splint (TS) in blunt and penetrating trauma, as well as intravenous (IV) analgesia utilization by Emergency Medical Services (EMS) in Miami, Florida (USA). In any case, the objective is to minimize the total amount of time in the traction splint to avoid any further injury to other structures. Not to be rude, but you obviously never seen air splints or know much about PASG. Buy hare traction splint indications and contraindications with amazing easy-to-use designs from trusted sellers. Statistically significant differences were found in the application of a TS in blunt trauma when compared to penetrating trauma (OR=20.83; 95% CI, 2.77-156.8; P <.001). Movement is the main cause of fracture related pain, hence why splinting is part of the routine care of almost all fractures. 0000003389 00000 n Emergency Disaster Support. Bottom line: In general, splints should not be removed during the imaging process for acute trauma. Heres a curbside consult from Peter Cole MD, Chief of Orthopaedics at Regions Hospital. But what about a study that provides much more detail, such as CT scan? EN. Step 15 Reassess PMSC's distal to injury on splinted leg. Locate Fracture Site. Description. Journal of the American College of Surgeons, 210(2):220-227, 2010. Procedural Protocols. Unfortunately, there are lots of contraindications . contraindications to traction splint placement are fractures that involve the knee, pelvis, or ankle, or that include damage to the sciatic nerve. Referring physician to receiving physician conversations must occur when considering transportation mode (air vs ground) for interfacility transfers, There must be good online medical direction from a physician, Offline medical direction must be based on protocols and policies developed by the, HEMS crews must have regular training opportunities. It also provides a more comfortable ankle strap and a small winch that makes it much easier to apply and adjust traction force. until the splint is in place and providing the traction. Traction Splints are used in prehospital care to immobilize and support fractures of a patient's femur. 0000001893 00000 n View all Google Scholar citations The Hare traction splint is a further adaptation of the Thomas splint. 15 August 2017. 877 0 obj <> endobj More info Close info. Some models do not have a ratchet mechanism to tighten the strap. Place the splint along the inner thigh. Item #600230. Check for a pulse distal to the injury. Manually support and stabilize the injured limb to prevent any movement at the fracture site. In my mind, this is a bit too simplistic. Objectives (1 of 2). A Sager Emergency Traction Splint is not contraindicated when MAST Trousers are used to immobilize the fractured Pelvis. Upon your command, lower the casualty's leg into the cradle of the splint in unison with the assistant. (B) Traction Splint, Ischial 2 Piece Strap, Pediatric, each. Femoral Traction Splinting BLS PROCEDURE BP-08. Suspected femur fracture. On the tib-fib above, the holes are a little distracting on the AP view, but still allow for good images to be obtained. Overstretching the limb can cause further injury to the limb. h. In my last post, I debunked the myth that using a pre-formed aluminum splint significantly degrades the quality of standard x-rays. The STS applies traction from the hip and is infinitely adjustable. Have the traction assistant apply the ankle hitch in the following manner: (1) Slide the three-ringed ankle strap under the heel of the casualty's boot with the padded side of the strap against the foot. 2021. 0000006288 00000 n 0000010831 00000 n Especially those pre-formed aluminum ones with the holes in them? Shannon, Brendan Consider appropriate analgesia. Contraindications Pelvic fracture The vessels are small, and high image quality is extremely important. Injury Severity Score was the same. who have suffered a suspected femur fracture. 0000032624 00000 n Apply Traction Using the Splint. Once on the paid unit, we got to a call where the volleys had used a Sager on a guy - ~70, fell off a roof, open distal femur that had spiked into the ground (yeah, that's the image - guy upright from broken femur sticking into ground). Why spend the extra time screwing around with the traction.get to the hospital. Bowles, KellyAnn Specifically, these include: Pelvic or hip fracture Indications EMR: Open or closed mid-shaft fractures of the femur in patients who are otherwise clinically stable Femur traction is applied through the extension . Am J Emerg Med, 19:137-140, 2001. Of these patients, victims of blunt trauma were more likely to receive IV analgesia (OR=6.23; 95% CI, 1.42-27.41; P=.0067). Place both hands under the casualty's thigh, one above the fracture site and one below the fracture site. Howland, Ian Ronald English Deutsch Franais Espaol Portugus Italiano Romn Nederlands Latina Dansk Svenska Norsk Magyar Bahasa Indonesia Trke Suomi Latvian Lithuanian esk Unknown Meizoso, Jonathan P. BLS call for ALS assistance: This assist was called for in 17% of cases. But you certainly could if it were! Prepare Ratchet. Expose the injured leg completely; examine the leg, check for pedal pulses, motor and sensory function. Eventual patient mortality was the same for BLS calling ALS and ALS response alone. In the pre-hospital or austere setting, these benefits are much smaller and have a higher risk associated as well. (3) If the strap interferes with the blood circulation, loosen the strap and secure it again. Then grip the casualty's ankle and foot as shown in figure 3-1. 0000001158 00000 n Eventual patientmortality was the samefor BLS calling ALS and ALS response alone. n. Brookside Associates Medical Education Division develops and Check for a pulse distal to the injury. Figure 3-3. Unit of Measure Each . They found that the mortality in the group with missing data was over twice as high (10.3%) as it was in the group with complete date (4.5%). Apply proximal secure. Hare Traction Splint. Bottom line: I have visited a number of states where EMS often does not leave their run sheet at all! 877 42 we ended looping it around the inside of the ankle cuff and attaching the hook to the bottom of the splint. Traction Splints. 0000006424 00000 n Traction splints interfere with many litters, are by design only useable for 1 type of injury, and require a significant amount of highly specific training. 0000006451 00000 n Obtain Assistant. Fit the ankle pads to the patient's ankle. English Deutsch Franais Espaol Portugus Italiano Romn Nederlands Latina Dansk Svenska Norsk Magyar Bahasa Indonesia Trke Suomi Latvian Lithuanian esk Unknown The traction is then applied with a rathcet below the foot, providing excellent INLINE traction. Positioning the ankle hitch of a Hare splint. Traction splints are widely used for immobilisation of fractures of the lower limb. Published online by Cambridge University Press: A total of 4744 patients from the National Trauma Data Bank were analyzed. Vttt-a2PB@BhnfaK "EO3Lggx&S\`e2%2na2b?V?#,gsT_!"@Ao3CA - b^ Upon recognizing the injury, Rescuer One should stabilize leg in. Sager Traction Splints are indicated in 93% of all femoral fractures (treats mid-shaft and proximal third fractures). 0000001734 00000 n He put them on a guy who cut his femoral with a chainsaw to get control of the bleed. Then grip the casualty's ankle and foot as shown in figure 3-1. The 3 Month (100 Day) MCAT Study Schedule Guide: 2022 Edition. | PowerPoint PPT presentation | free to view . Its not really known whether this results in an increased infection rate, but its better to be safe and not do it. d. Stabilize the Injured Leg. Its been endorsed by the National Association of EMS Physicians and looks like a lot of thought has gone into it. You have a simple tool; it's basically one of those steering wheel locks. Differentiate between an open and closed painful, swollen, deformed extremity. There is brevity of evidence-based research on their efficacy. Quantity Quantity. If there are other fractures in the foot or ankle traction may not be effective, because traction splints require support on strap sites to be able to apply traction. 0000007095 00000 n Ready Stock Medical Pinky Therapy Finger . Hare Traction Splint (Bipolar Traction Splint) The Hare is a bipolar traction splint, which means it uses two external poles to support the injured leg. Apply the Ankle Hitch to the Boot. Feature Flags: { Thanks to Don Dustin from Mineral County EMS in Colorado for posing this question! Applying manual traction and lifting the leg. I remember my partner using a 4X4 to knock some dirt, mud, and grass off the end before they put the traction on. They consist of other injuries or fractures that could sustain further damage from traction. Figure 3-2. incorporate the white heart of international nursing with the. yay! In unison with the assistant, lift the casualty's injured leg so the splint can be slipped beneath the leg (see figure 3-3). Applying a Sager Traction Splint (2 of 3 . The EMS patient care reports were assessed for physical exam findings and treatment modality. List the major bone groupings in the body. 0000031825 00000 n yup, no traction, the extra length will not fit in the aircraft. EMS policy and the trauma center verification process requires that all trauma patients delivered to a trauma center must have a copy of the EMS run sheet. As you know, my mantra isquestion everything! a. medical professionals and those in training to become medical professionals. J Trauma 75(4):734-741, 2013. If I have the time and I think it would benefit the patient.then go for it. Apply only enough traction, to align the limb to fit into the splint. Tan, Edward C.T.H. Apply Manual Traction. Each splint features adjustable length, adjustable leg straps, an ankle wrap, a thigh pad, and a heel stand. Add to Cart. 2008 Medical Education This is very interesting information for prehospital and ED providers. Splinting techniques are used to treat musculoskeletal system abnormalities. Infection Control. Data were analyzed descriptively and statistical differences were assessed using odds ratios and Z-score with significance set at P.05. If the fracture pattern is complex, it may be helpful to temporarily remove it, but this should only be done by a physician who can ensure the fracture site is handled properly. Its metal, after all. Students will learn the anatomy of musculoskeletal injuries, and will . 0000002737 00000 n Open and Position Support Straps. v) The elderly may not tolerate traction well, especially if there is a pre-existing condition such as arthritis or joint tenderness" 3. The hare traction splint is designed to be used on those patients. Item #: 3020-27010. Positioning the Hare splint under the casualty's limb. All resources are student and donor supported. All worked very well and it was very easy to apply. startxref Apply increased gentle, longitudinal manual traction to the casualty's limb. Slishman Traction Splint, Compact (STS-C) By: TRI-TECH FORENSICS INC. on the way to the hospital we would complain again and I'd crank a little more and he'd get better. . Your Price: Log in List Price: $239.99 EA. A patented pulley system makes traction application easier than other devices, and a unique hitch allows use despite a foot amputation. 0000004013 00000 n Traction splints may also reduce and/or decrease pain and bleeding due to femur fractures, particularly those that are shortened. Traction though works really well though. This design allows the responder to elevate the leg and cradle it amongst the straps. 0000072874 00000 n The QD-4 splint will adjust to accommodate pediatrics and adults. CAUTION: Contraindications Pelvic fracture That' the way I do it. just used it for the first time, but not in the field. The population was dichotomized between trauma type: blunt versus penetrating. d. Traction splints may also be used in ankle and knee injuries. spine board makes the ultimate total body splint if done correctly. Nackenson, Joshua $738.99 SKU SI008A Discount Code: Use code TAKE5 for 5% OFF Total Purchase. If I was in a position to place on while en route, possibly.it gets an injury priority just like everything else. It is useful in certain situations, sometimes very. Traction is great for pain relief d/t quad contraction, and makes it easier to get the pt on a board like mentioned above, very very stable. However the anatomy of the femur makes application of the flexible aluminium/foam-padded splints, inflatable splints or plaster backslabs impractical and ineffective. Judge for yourself. Journal of the American College of Surgeons, 210(2):220-227, 2010. He was in excruciating pain, but a little nitrous and the hare traction and he was golden for the trip to the hospital. Has data issue: true Specifically, these include: Unfortunately, when it comes to removal, there are very few guidelines out there. Effective Date: 04-01-2022 Revised Date: 04-01-2023 Page 1 of 1 . Monitoring & Diagnostics. So why does failure to record physiologic data translate into higher mortality? There is only one true contraindication. They consist of other injuries or fractures that could sustain further damage from traction. Some of my orthopedic colleagues insist that the splint be removed in the x-ray department before obtaining images. In the field, open femur fractures are contraindications to traction splint application Significant injuries to the knee A study of elastic mobilization splinting in 51 nonsurgical rheumatoid arthritic patients done by Convery et al.7,8 and Li-Tsang et al.21 suggested that hand function was not improved and the . All units come as a complete kit with straps, ankle hitch and carrying case included. In the early 1900s, femur fractures were often fatal. Reference:Appropriate use of Helicopter Emergency Medical Services for transport of trauma patients: Guidelines from the Emergency Medical System Subcommittee, Committee on Trauma, American College of Surgeons. Carefully tighten ratchet to the point that 4.25.2 Hare Traction Splint Expose the injured area. to another hospital, and the e.r. In the 1960s, Glen Hare developed Hare traction splint, modifying full ring Thomas splint into half-ring splint by incorporating a ratchet mechanism with additional length adjustment mechanisms and improving the ischial pad. Its length is adjustable via telescoping rods, and it has built-in straps to support the hip and leg at several points along its length. The necessary equipment will be adjacent to the patient or brought to the field setting. In the following instructions, the person helping you will be identified as the assistant. Metal Splints - Can You X-ray Through Them? Most importantly, there is really only one indication for applying a traction splint to the femur: an isolated, relatively mid-shaft femur fracture. The Sager traction splint is a unipolar split that can be used to align femur fractures. (4) Check the casualty's distal pulse. EQUIPMENT As such, they have a much broader range of application and use than other traction splints. The concern is that contaminated bone will be pulled back into the wound. A Descriptive Analysis of Traction Splint Utilization University of Texas Southwestern Medical Center Department of Emergency Medicine, Dallas, TexasUSA, Kings County Hospital/SUNY Downstate Department of Emergency Medicine, Brooklyn, New YorkUSA, University of Miami/Jackson Memorial Medical Center, Ryder Trauma Center, DeWitt Daughtry Family Department of Surgery, Miami, FloridaUSA, https://doi.org/10.1017/S1049023X17006859, Get access to the full version of this content by using one of the access options below. Look closely for the intimal flap in the image below: Cant see it? DynaMed HARE Traction Splints - SPLINT, TRACTION, DYNAMED, HARE, ANKLE STRAP - SI008A by Dyn-A-Med Products. Original use of the traction splint, first popularized by Dr. 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. The Trauma Professional's Blog provides information on injury-related topics to trauma professionals. CAUTION: More and more studies are now displaying that they do indeed aid in treatment if used properly with different protocols that as used at one time. traction just seems to ease the pain caused by the freakishly horrible muscle spasms. It has become an industry standard for patients requiring Hare style traction splinting. Regions is a Level I Adult Trauma Center, and has partnered with Gillette Children's Specialty Hospital to become the first Level I Pediatric Trauma Center in the Upper Midwest. Estimate the proper splint length. SKU 600200 . for this article. 0000004400 00000 n j. Do not cause additional injury by removing it prior to imaging, either CT or conventional x-ray. k. It is the one thing besides childbirth that I have yet to do as an EMT. Curaplex. (2) Lay the splint parallel to the casualty's uninjured leg with the top of the splint even with the bottom of the casualty's buttocks (at the ischium). b. (3) Position the third leg support strap so it will secure the lower leg below the knee. 0000010307 00000 n Adjust Splint. Unfortunately, there are lots of contraindications. The indications and contraindications listed above are only intended as a basic reference . Unfortunately, there are lots of contraindications . For most fractures, the images obtained are more than adequate to define the injury and formulate a treatment plan. From field to hospital: When applied, Sager Splint model SX404 is radiolucent to all areas of a femoral fracture. Demonstrate competency in applying a minimum of two (2) types of traction splints. Dress any open wounds on the leg before applying the traction splint. Have the assistant position himself at the casualty's injured thigh and gently support the thigh above and below the fracture site. Most importantly . With the bone ends exposed (pierced the skin) the risk on infection is great. Be sure to check out the upcoming 2014 conference materials at www.TETNG.org. g. Continue to support the leg at the ankle until the remainder of the splint straps have been applied. Controlled Substance Ordering. The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other tactical traction splints. Here are the factoids about the HEMS guidelines: Bottom line: We absolutely must take a critical look at our patient transport practices and procedures. The medical leader secures the four Velcro support straps so the limb is securely held in the splint. So i scouted around and found some images to share using one of these splints. The set contains the metal Hare splint with straps and ratchet, an ankle hitch, padding materials, and a litter bar. I learned a number of things while reviewing the literature to answer this question. For a better experience, please enable JavaScript in your browser before proceeding. Please submit your request for a specific topic. CT scan techs have told me that there would be too much artifact using any kind of metal splint. Many would say its better pain relief than the amount of morphine you could give in the field. Currently, four traction splints that have been awarded NATO Stock Numbers are in use: the CT-6 Leg Splint, the Kendrick Traction Device (KTD), the REEL Splint (RS), and the Slishman Traction . The hare traction splint is designed to be used on those patients who have suffered a suspected femur fracture. Continue providing support and stabilization as the traction assistant applies the ankle hitch and splint. The CT-6 is a Leg Traction Splint designed for Pre Hospital Care and Patient transport, specifically in combat scenarios. They can help decide whether converting to some type of definitive traction is necessary, or whether it can be changed to a more conventional splint. I've never worked for a place that had MAST pants on the rigs. Apply distal secure. 0000005158 00000 n thought those were a thing of the past. Hare Traction Splint Replacement Straps - ONLY. 0000004127 00000 n Documentation should be evaluated regularly, and all cases with any missing vital signs should be reviewed closely. i. Want to see a post on a specific topic? I agree that the traction splint should only be applied on femur fractures, known or suspected. kiel tutin kpop choreography list; show numbers in different ways worksheet; how to get into football manager; san bernardino county probation department phone number Unfortunately, there arelots of contraindications. I guess I"m just more interested in treating the source of their pain instead of just the pain. A study looked at the impact of those criteria on patient survival. Reference:Lack of Emergency Medical Services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. It may not display this or other websites correctly. Most importantly, there is reallyonly one indication for applying a traction splintto the femur: an isolated, relatively mid-shaft femur fracture. One of the most common types of traction splints is the Hare splint, which features metal rods with a series of adjustable straps for security. It is primarily used on patients with mid-line femur fractures. 0000009299 00000 n one of those that I particularly remember was an 18 year old high school baseball player who suddenly stopped weird and broke his femur (freak accident). III. In the following instructions, the person helping you will be identified as the assistant. Adjust splint length. later OSUdoc08 Membership Revoked Removed Solutions & Services. Length is 5:23. Forget the indications and contraindications. Castle, Nicholas Raymond iv) in the event of groin injury, the splint may be applied to the outside of the leg. hasContentIssue true. CONDITION Apply a traction splint on a patient who has sustained an isolated mid-shaft femur fracture. NackensonJ, BaezAA, MeizosoJP. Log in for availability. However, the software plug-in that accomplished that is not working so well, and cross-posts have become less and less frequent. patients. We present a case of skin complication. Applying a Sager Traction Splint (1 of 3) Expose the injured extremity and check pulse, motor, and sensory function. Then grip the casualty's ankle and foot as shown in figure 3-1. wowI must be getting old.was taught mast use for trauma in my emt-p program but used only occassionally in the field as they were starting to phase out in the early 90's can't say i agree with just giving high doses of narcs to cover up something that you can fix temporarily (pain anyway) with a traction splint. Correspondence: Joshua Nackenson, MD, NRP University of Texas Southwestern Medical Center Department of Emergency Medicine Dallas, Texas USA E-mail: World Association for Disaster and Emergency Medicine 2017. Trauma Center PI programs should work with EMS to analyze this data and look for the patterns that increase mortality. NOTE: You will need to change your grip on the casualty's ankle and foot to allow the, assistant to apply the traction strap while you maintain your support. (1) Loosen the locking devices on the two metal rods of the splint so the bottom of the splint is free to slide. I have never used it.but I am curious what you would do for a broken femur besides using the traction. This website is privately-held and not connected to any governmental agency. If the images are bad, then we risk having to give the patient another dose of both radiationand contrast. Indications Femoral shaft fracture Femoral traction splints are used to stabilize femur fractures prior to definitive care (eg, operative fixation). Applying mechanical traction with the Hare splint. Traction Splints - Contraindications . Hare Traction Splints. 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. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Hare traction splints. Bottom line:A perforated aluminum splint causes absolutely no artifact or image degradation. Hare traction splints are used in the field or the emergency department for stabilization of femur fractures or subtrochanteric hip fractures and for transport to centers for definitive care. If you don't use a traction splint simply backboarding and whatever splints you have to immobilize would work. Instruct the assistant in his functions and provide help as needed. Reference: Lack of Emergency Medical Services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. Figure 3-1. They can help decide whether converting to some type of definitive traction is necessary, or whether it can be changed to a more conventional splint. All worked very well and it was very easy to apply. It is especially good for basics who do not have the luxury of morphine on the rig. View Product Details. california emt-p aa degree able to use towards a 4 year? There are several different types of commercially made traction splints available. Custom Kitting. 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