Applies application of manual traction 1 assesses motor, sensory, and circulatory function in each extremity 1 note. Any break in a bone, no matter whether the skin has been broken, is a fracture. Products emergency and rescue immobilisation traction splints traction splints. Currently, four traction splints that have been awarded nato stock numbers are in use.
Original use of the traction splint, first popularized by dr. This article highlights the different types of splints and casts that are used in various circumstances and how each is applied. Hugh owen thomas introduced his splint which he called the knee appliance in 1875. 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. Open and position the velcro straps along the splint. Qd4 hare traction leg splint faretec pdf catalogs technical. The hare traction splint is designed to be used on those patients who have suffered a. 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. 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. The hare traction splint is a further adaptation of the thomas splint. Complications included pressure sores,11 compartment syndrome,12 peroneal nerve palsies, and urethral injury.
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. 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. 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 tissue. Injury, 6, 165168 165 wrinkle corner the thomas splint a quick method of application j. Traction splints, pediatric traction splint emergency. 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. 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. The fernotrac traction splint is available in adult and pediatric sizes, or as a. Mode of skeletal tractions fixed traction counter traction applied by the splint sliding traction wt of body acts counter traction 39. Femoral traction splints in mountain rescue prehospital care. Simple, stepbystep instructions are sewn directly on the straps. Fernotrac traction splint emergency medical products. Traction splint with all associated equipment ankle hitch, straps, etc.
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. Hares patent on the splint expired, the market was inundated with similar products, marketed as haretype traction splints, leupold said. 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.
How to survive alone in the wilderness for 1 week eastern woodlands duration. Radiolucent design enables xrays and catscans to be taken without. 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. 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 reel splint immobilizer delivers on all these, and many more, timehonored splinting practices. Adjust splint to length, extending the splint so that the bend is even with the heel of the foot. There was no significant difference in pain intensity immediately after splintingbetween the two groups p 0.
At last, youll be able to splint routinely in an effective manner in the presenting position more quickly and effectively then ever thought possible. As the longest bone in the body, when it breaks a fractured shaft of femur is a very painful and potentially life threatening injury. Resuscitation of patient other injuries abdomen, chest, brain isolated femur fracture. Traction splint definition of traction splint by medical. There were 4 articles that described single case studies with complications directly caused by traction splint use. Trauma meded regions hospital trauma and acute care surgery. Sager emergency fracture response system sefrs sager infant bilateral splint. 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. Temporary immobilization of sprains, fractures, and reduced dislocations control of pain prevention of further soft tissue or neurovascular injuries 4. Fernotrac traction splints length adjustments can be made by loosening the knurled sleeves on each side of the tubular aluminum frame.
Traction splints applying the ktd traction splint february 14, 2014 jeffery hill, md m. If the leg is elevated at all, manual traction must be applied before elevating the leg. The evaluator informs the student that the secondary assessment has been done by another emt and to stabilize the injury with a traction splint evaluator choses either hare or sager. 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 sager is a unipolar traction splint, which means it uses one external pole to support the injured leg. Started in 1995, this collection now contains 6769 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters.
A splint that provides continual traction to a midshaft lower extremity fracture. The candidate should be awarded 1 point as if manual traction were applied. Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage. 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. Theres a partial amputation or avulsion with bone separation and the distal. Traction splints used in the field include the hare traction splint. Malalignment was observed when the hare traction splint was applied. Check out this lesson for stepbystep instructions on how to a properly apply a traction splint. Thomas during the first world war, included the use of the device for femur fractures resulting from gunshot. 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. What links here related changes upload file special pages permanent link page information wikidata item.
A traction splint most commonly refers to a splinting device that uses straps attaching over the. Emtb practical examination coordinator use only pass. The ischial ring of the traction splint must be against the bony prominence of the buttocks ischial tuberosity. 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. Enhancements to the hare traction splint include the ability to rapidly set the splint length with improved collett locks, a larger traction knob for better grip and control, the ability to adjust traction with one hand, and a. There are several different types of commercially made traction splints available.
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. A comparison between the effects of simple and traction. Hare traction splint, the original traction splinting device, realigns a fractured femur to its proper position. They include the wlc, ct6, fastset3, el3000, pst and many more. It has been found to be both extremely effective and easy to use. Mar 16, 2015 mode of skeletal tractions fixed traction counter traction applied by the splint sliding traction wt of body acts counter traction 39.
Proper use can decrease the pain and damage caused by the fracture. No al ts al c on t n173 no al ac on t n406 lue s 35 31 37 2 0. As such, they have a much broader range of application and use than other traction splints. Sager traction splints are indicated in 93% of all femoral fractures treats midshaft and proximal third fractures. Get a printable copy pdf file of the complete article 501k, or click on a page image below to browse page by page. Line2design traction splint childpediatric carrying case adjustable ankle straps product description. Displaying traction splints results 1 to 12 of 12 single pole traction device. There is brevity of evidencebased research on their. The method of hugh owen thomas uses fixed traction with the counter traction being applied against the perineum by the ring of the splint. One of the main initial treatments for this injury is application of some sort of traction splint, designed to apply distracting force between the lower leg and the relatively fixed base of the pelvis, which pulls the displaced and shortened femur back.
Paramedic psychomotor competency portfolio manual traction. Our traction splints meet the needs of ems specialists and patients worldwide. 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. The reductions were significantly more in the traction splint group at the 1 st, 6 th p 0. Here in ny state, whatever type or brand traction splint, contraindicated to use for fx leg if possible tibfib involvement. The fernotrac traction splint is available in adult and pediatric sizes, or as a kit, and includes carrying case. Simply press the button release latch and rotate the splint until the traction cable is on the same side as the fractured femur. Sts directions for use 2014 study of 4 different traction splints a fascinating read on the history and current state of femoral traction splinting. Traction splints applying the ktd traction splint taming. Femoral traction splints in mountain rescue prehospital. Any material used to support a fracture is known as splint. The reductions were significantly more in the traction splint group at the 1st, 6thp 0. Requires two responders one to hold traction, one to apply. Jun, 2014 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.
To accomplish this, the s301 outer shaft must be disconnected from the articulating base and cushion. Prometheus traction splint specialist emergency medical. In the 1960s, glen hare developed hare traction splint, modifying full ring. Check your nsp catalog for the slishman traction splint listing.
Traction splinting for fractured shaft of femur why do. The dyna med hare traction splint is for professional use only, as recommended in this manual. 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. Wide elastic support straps maintain the injured leg within the frame of the splint, helping to provide inline mechanical traction. 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. Traction splints are used only on the lower extremity, usually for a fracture of the femur. The history of traction splinting ski patrol buyers.
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. Long bone fracture of the lower extremity mid shaft femur rdor. Traction splints are recommended on all midshaft femur fractures to establish. In 1961, the american college of surgeons recommended that traction splints be included in every ambulance in the united states. Femoral shaft fractures orthopaedic trauma association ota. Pdf traction splints are widely used for immobilisation of fractures of the lower limb. The information included below is designed to be used as a guide for an ischial type traction 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. Used for fracture of the upper bone of the leg the femur. The prometheus traction splint is designed to be used on those patients with a suspected limb fracture.