Background the question of whether it is permissible to use. Traction and saager splint contraindication education. Used dynamed hare traction splint model m1001 traction. 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 first time that i did was a few years into my career about 6 for a fall in a grocery store. The patient expresses that the pain is much less than it was and you notice that the injured leg is about the same length as the uninjured leg and also. Mike greene, frcs, fcem from the north cumbria university hospitals nhs trust, emergency department dr runcie, and emergency medicine mr greene, west cumberland hospital, whitehaven, uk. The history of traction splinting ski patrol buyers. Traction splinting new york state department of health. A traction splint most commonly refers to a splinting device that uses straps attaching over the. Sager splint sits between the leg against the ischial tuberosity, so it is more effective for proximal femur fracture than hare splint. Prometheus traction splint specialist emergency medical. Combine the screams with the added time to apply traction, the. I would like to commend bledsoe and barnes on their.
If a hare traction splint is used on a 52 person by emts. 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. 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. In 1961, the american college of surgeons recommended that traction splints be included in every ambulance in the united states. Femoral traction splints in mountain rescue prehospital care. We present a case of skin complication following traction splint for spiral fracture of femur. Check your nsp catalog for the slishman traction splint listing. Traction equipment free delivery possible on eligible purchases. Hare traction splint, the original traction splinting device, realigns a fractured femur to its proper position.
I did a pubmed search specifically for hare traction and sager traction. 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. Simple, stepbystep instructions are sewn directly on the straps. Check out this lesson for stepbystep instructions on how to a properly apply a traction splint. When traction is applied to the leg, the counter traction is applied against the bones of the pelvis. 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. In this position, the airway will hold the tongue forward. The information included below is designed to be used as a guide for an ischial type traction splint. Traction splint definition of traction splint by medical. The metal splint has a stirrup that lifts the splint off the ground. Not only is this an excruciatingly painful injury, it is inherently dangerous. Insert the airway until the flange rests on the patients lips and teeth. The dynamed hare traction splint has defined the industry standard for field treatment of a fractured femur.
Thomas splint traction hugh owen thomas introduced his splint which he called. 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. Historically the absence of pre hospital treatment of fractured femur has led to undesirable nerve and vascular complications. Therefore, i can only hope such a device traction splint is applied to me or my family members if we are ever so unfortunate to suffer such a terrible injury. Before applying any splinting device, we always want to check csm, circulation, sensation, and movement distal to the injury. 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. Applying a sager traction splint 1 of 3 expose the injured extremity and check pulse, motor, and sensory function. Developed over 30 years ago, the hare traction splint is the original traction splinting appliance. Requires two responders one to hold traction, one to apply. Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. And if youve ever tried to load a patient with a hare traction splint into a bk 117 helicopter or a type. Sager emergency fracture response system sefrs sager infant bilateral splint. 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. I have used a traction splint a handful of times in my nearly 20 year career. Ppt applying a sager traction splint 1 of 3 powerpoint. It is primarily used on patients with midline femur fractures. A free powerpoint ppt presentation displayed as a flash slide show on id. 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.
An xray of the femur is negative but the patient is in the splint for roughly 5 hours and soft tissue injuries are evident. Products emergency and rescue immobilisation traction splints traction splints. Questioning commended by sam scheinberg, md, the seaberg co. The unique design effectively realigns a fractured femur with less pain for the patie. Rescuer two should apply the ankle hitch to the patient. 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. The most common traction splints youll see in the field are the hare bipolar and the sager. Wide elastic support straps maintain the injured leg within the frame of the splint, helping to provide inline mechanical traction. A splint that provides continual traction to a midshaft lower extremity fracture. The fernotrac traction splint is available in adult and pediatric sizes, or as a. The hare traction splint can be applied by two people. Paramedic psychomotor competency portfolio manual traction. Rescuer one will now move the splint into position. The dyna med hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years.
The dyna med hare traction splint is for professional use only, as recommended in this manual. Express the contraindications of use for both types of splints. Any material used to support a fracture is known as splint. Release the ratchet, extending the entire length of the traction strap. A third patient was also excluded after a diagnosis of floating rib fractures. What dr sam scheinberg says about hare traction splint. While greg has a bit of a point, i disagree with him. Tales of the traction splint confessions of an ems. Adjust splint to proper length using the uninjured leg 1 positions splint at injured leg 1 applies proximal securing device groin strap 1 applies distal securing device ankle hitch 1 applies mechanical traction 1 positionssecures straps 1 reevaluates proximaldistal securing devices 1. There are several different types of commercially made traction splints available. Dynamed dynamed hare traction splint model m1001 with warranty 30 day warranty excellent. The thomas halfring group, which includes the thomas splint, the modified thomas splint, the qd4 hare traction splint and the donway. The velcro straps provide support for the leg and secure the leg to the splint. One of the reasons im asking is because they both seem fairly straight forward to.
Traction splints are used only on the lower extremity, usually for a fracture of the femur. You have just completed the application of a hare brand traction splint and mechanical traction has now been pulled. 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. 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. Padding material splints femur takes or verbalizes appropriate ppe precautions directs application of manual stabilization of the injured leg not necessary when using a unipolar device sagar or similar that is immediately available. Traction splints are widely used for immobilisation of fractures of the lower limb.
A comparison between the effects of simple and traction. It aids in effectively realigning a fractured femur to its proper position, reducing pain and restoring perfusion to an injured leg. Using either the hare or sagar traction device, place the traction splint on the patient to immobilize the fractured femur. This helps reduce blood loss, alleviate pain and minimize further injury. The most common traction splints youll see in the field are the hare bipolar. Traction splints used in the field include the hare traction splint. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Our company does not manufacture, sell or have any financial relationship with any femoral traction splints. For the sake of illustration, all other treatments have been omitted. This video discusses and demonstrates how to place a hare traction splint for reduction and stabilization of femur fractures. Most importantly, the hare traction splint provided a more rapid and.
The traction splint group consisted of 34 subjects among whom twodid not consent to continue. Display a working knowledge of how the hare and sager traction splints are applied. Faretec ct6 military leg traction splint emergency. Hare traction splint 75924 made by hare cpr savers and. Femoral traction splints in mountain rescue prehospital. The splint should be firmly seated against the ischial tuberosity. 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. Buy line2design traction splint childpediatric portable lightweight immobilization emergency first aid splint with carrying case patient transport adjustable ankle straps. How to survive alone in the wilderness for 1 week eastern woodlands duration. Traction splints applying the ktd traction splint february 14, 2014 jeffery hill, md m. 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. Our traction splints meet the needs of ems specialists and patients worldwide. Hare traction splintan industry standard in traction splinting.
This scenario depicts the treatment of an isolated midshaft femur fracture. The hare traction splint is designed to be used on those patients who have suffered a. Traction splint with all associated equipment ankle hitch, straps, etc. One of the most painful of all injuries that one can suffer is a fractured femur. There is brevity of evidencebased research on their efficacy. The mean ages of the participants in the simple and traction splint groups were 29 14. Use of a traction splint in the presence of other ipsilateral fractures in the leg will cause the weaker fracture site to pull apart and not the targeted femur fracture.
Fernotrac traction splint emergency medical products. Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage. In the hospital, femur fxs are treated with traction, usually with an intermedullary nail put through the distal femur. 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 faretec ct6 military leg traction splint is designed for prehospital care and patient transport, specifically in combat scenarios.
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. Dress any open wounds on the leg before applying the traction splint. 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. Insert the airway with the tip facing the roof of the mouth and slide it in until it touches the roof of the mouth.
Dynamic traction method combining movement and traction for intra articular. Used for fracture of the upper bone of the leg the femur. The set contains the metal hare splint with straps and ratchet, an ankle hitch, padding materials, and a litter bar. A traction splint is a special type of leg brace used for fractures of the long bone in the thigh. Traction splints provide a counterpull to reduce the size of the thigh and realign the fractured femur. Any break in a bone, no matter whether the skin has been broken, is a fracture. Splint does many of the traditional lint checks including unused declarations, type inconsistencies, use before definition, unreachablecode, ignored return values, execution paths. Attach shook to dring and take up tension until splint traction matches manual traction. 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. How to make a traction splint for a fractured femur. Buy hare traction splint hare traction splint, adult model 75924 each on free shipping on qualified orders.
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