The faretec ct6 military leg traction splint is designed for prehospital care and patient transport, specifically in combat scenarios. However, they were originally designed for the treatment of femoral fractures not temporary stabilization. The dyna med hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years. The purpose of this document is to update international trauma life support itls instructors and providers of the position of itls in regard to the use of traction splints with open femur fractures.
Traction splints used in the field include the hare traction splint. 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. There are several different types of commercially made traction splints available. 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. Initial pull causes discomfort for the patient, but this should subside quickly. Dynamed hare traction splint the hare traction splint has defined the industry standard for field treatment of a fractured femur. Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage. Thomas splint traction hugh owen thomas introduced his splint which he called the knee appliance in 1875 the method of hugh owen thomas uses fixed traction with the counter traction being applied against the perineum by the ring of the splint this is in. Dec 16, 20 this feature is not available right now. Check out this lesson for stepbystep instructions on how to a properly apply a traction splint. 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.
Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Just before placing the hare traction splint, your partner notes that the patient has no feeling in her toes and the dorsalis pulse has disappeared. Hare traction splintmchenry western lake county ems. Enhancements to the dynamed 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 recessed traction release button to help prevent accidental release. Traction splints are used only on the lower extremity, usually for a fracture of the femur. The traction is then applied with a rathcet below the foot, providing excellent inline traction. The qd4 splint will adjust to accommodate pediatrics and adults. Our traction splints meet the needs of ems specialists and patients worldwide. Significant rate of misuse of the hare traction splint for.
Hare traction splint for initial reduction of femur fractures prior to or or skeletal traction. Aug 19, 2010 while greg has a bit of a point, i disagree with him. What links here related changes upload file special pages permanent link page information. Fernotrac traction splint emergency medical products. The sefrs sx405 emergency fracture response system has. The information included below is designed to be used as a guide for an ischial type traction splint. Hares patent on the splint expired, the market was inundated with similar products.
Used for fracture of the upper bone of the leg the femur. Attach shook to dring and take up tension until splint traction matches manual traction. Tales of the traction splint confessions of an ems newbie. Resuscitation of patient other injuries abdomen, chest, brain isolated femur fracture. While greg has a bit of a point, i disagree with him. I did a pubmed search specifically for hare traction and sager traction. Temporary immobilization of sprains, fractures, and reduced dislocations control of pain prevention of further soft tissue or neurovascular injuries 4. Hares patent on the splint expired, the market was inundated with similar products, marketed as haretype traction splints, leupold said. General principles of inline traction splinting grasp the foot or hand. Any break in a bone, no matter whether the skin has been broken, is a fracture. 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. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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.
This helps reduce blood loss, alleviate pain and minimize further injury. Traction splints applying the ktd traction splint taming. The history of traction splinting ski patrol buyers. Traction splint advanced emt milwaukee county, wisconsin. Applies application of manual traction 1 assesses motor, sensory, and circulatory function in each extremity 1 note. Hare traction splint, the original traction splinting device, realigns a fractured femur to its proper position.
Background the question of whether it is permissible to use. Take rest breaks after excessive use to repeat stretching exercises. If a hare traction splint is used on a 52 person by emts. The hare traction splint realigns bone ends to the proper position to reduce pain and restore blood flow and to minimize the risk of.
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 hare traction splint is a further adaptation of the thomas splint. We both said we would use some sort of splint sam, pillow, or whatever available because of the fact that it was an open fracture. The patient is in extreme pain and screaming loudly. 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. Prometheus traction splint specialist emergency medical. Traction splints provide a counterpull to reduce the size of the thigh and realign the fractured femur. They include the wlc, ct6, fastset3, el3000, pst and many more.
Traction and saager splint contraindication education and. If the patient strongly resists traction or if it causes more pain that persists, stop traction and splint in the position it is in. Requires two responders one to hold traction, one to apply. 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. 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. Paramedic psychomotor competency portfolio manual traction. Would you run a marathon and just stop when you got to the. You apply manual traction to the leg and straighten the injured leg out as much as you can. Traction splint with all associated equipment ankle hitch, straps, etc. Check your nsp catalog for the slishman traction splint listing. Wide elastic support straps maintain the injured leg within the frame of the splint, helping to provide inline mechanical traction. The ischial ring of the traction splint must be against the bony prominence of the buttocks ischial tuberosity. 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. Dress any open wounds on the leg before applying the traction splint.
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. Not only is this an excruciatingly painful injury, it is inherently dangerous. There is brevity of evidencebased research on their. Initial traction with portable traction splint or transosseous pin and balanced suspension evaluation of knee to determine pin placement. I have used a traction splint a handful of times in my nearly 20 year career. Applying a sager traction splint 1 of 3 expose the injured extremity and check pulse, motor, and sensory function. Products emergency and rescue immobilisation traction splints traction splints. Faretec ct6 military leg traction splint emergency. I got the chance to try out both of them last night, and i wanted to know if any of you had any tips or things to keep in mind.
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. Any material used to support a fracture is known as splint. The first time that i did was a few years into my career about 6 for a fall in a grocery store. Preventing overuse syndrome conditioning is the key. Pdf traction splints are widely used for immobilisation of fractures of the lower limb. Warm up your muscles with stretching exercises before you start your day. It aids in effectively realigning a fractured femur to its proper position, reducing pain and restoring perfusion to an injured leg. For the sake of illustration, all other treatments have been omitted.
When traction is applied to the leg, the counter traction is applied against the bones of the pelvis. In the hospital, femur fxs are treated with traction, usually with an intermedullary nail put through the distal femur. 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. One of the most painful of all injuries that one can suffer is a fractured femur. After a long day at work, dont just stop using your hands. Skill drill 301 performing manual inline stabilization skill drill 302 immobilizing a patient to a long backboard. In 1961, the american college of surgeons recommended that traction splints be included in every ambulance in the united states. The fernotrac traction splint is available in adult and pediatric sizes, or as a. Sager emergency fracture response system sefrs sager infant bilateral splint. It has become an industry standard for patients requiring hare style traction splinting. Traction and saager splint contraindication education. The most common traction splints youll see in the field are the hare bipolar and the sager unipolar.
Traction splinting new york state department of health. 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. Traction splints applying the ktd traction splint february 14, 2014 jeffery hill, md m. If a hare traction splint is used on a 52 person by emts to. Simple, stepbystep instructions are sewn directly on the straps. The most common traction splints youll see in the field are the hare bipolar and the sager. Ppt applying a sager traction splint 1 of 3 powerpoint.
A traction splint is a special type of leg brace used for fractures of the long bone in the thigh. 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. This scenario depicts the treatment of an isolated midshaft femur fracture. Historically the absence of pre hospital treatment of fractured femur has led to undesirable nerve and vascular complications. A free powerpoint ppt presentation displayed as a flash slide show on id. In the 1960s, glen hare developed hare traction splint, modifying full ring. Musculoskeletal injuries splinting inhs health training. 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. Using either the hare or sagar traction device, place the traction splint on the patient to immobilize the fractured femur.
How to make a traction splint for a fractured femur. 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. It is primarily used on patients with midline femur fractures. Qd4 hare traction leg splint faretec pdf catalogs technical. Maintain the manual traction until themechanical traction takes over. Jun 18, 2006 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. And if youve ever tried to load a patient with a hare traction splint into a bk 117 helicopter or a type. The hare traction splint is designed to be used on those patients who have suffered a.
Traction splints have been used in ems for more than 40 years. An xray of the femur is negative but the patient is in the splint for roughly 5 hours and soft tissue injuries are evident. I was going over some scenarios with a fellow student and we came across one that involved a compound femur fracture. Tales of the traction splint confessions of an ems. Traction splints are recommended on all midshaft femur fractures to establish. Sts directions for use 2014 study of 4 different traction splints a fascinating read on the history and current state of femoral traction splinting. The dyna med hare traction splint is for professional use only, as recommended in this manual. Background the question of whether it is permissible to use a traction splint to manage an open midshaft. One of the reasons im asking is because they both seem fairly straight forward to. A traction splint most commonly refers to a splinting device that uses straps attaching over the. This video demonstrates one correct way to perform hare traction splint to help prepare you for the new york state emt practical skills examination. This design allows the responder to elevate the leg and cradle it amongst the straps. Sep 07, 2017 this video demonstrates one correct way to perform hare traction splint to help prepare you for the new york state emt practical skills examination. The fernotrac traction splint is available in adult and pediatric sizes, or as a kit, and includes carrying case.
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