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