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. Thomas during the first world war, included the use of the device for femur fractures resulting from gunshot. Applying to an extremity what is involved in applying a splint to an extremity. Big thing to remember is that sager can be used for bilateral femurs and the hare isnt designed for it. The fernotrac traction splint is available in adult and pediatric sizes, or as a kit, and includes carrying case.
Application is fast and easy with the onepiece design. This is a video of new york states long bone traction splinting station 6c. Emt traction splint immobilization hare type duration. All emts are taught the procedure for applying a traction splint, but too often it is done in the classroom then never again. Subjects had previously trained on traction splints an average of approximately 6 times.
Three of the traction splints are commercially available. Femoral traction splints in mountain rescue prehospital care. Developed over 30 years ago, the hare traction splint is the original traction splinting appliance. 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. Preformed splints are now the most common type of splint used for patients with fracture, dislocation, or subluxation. The hare traction splint can be applied by two people. The main indications for splinting are to temporarily immobilize a limb for pain and spasm, to decrease swelling, and to minimize further potential softtissue or neurovascular injuries associated with contusions, sprains, lacerations, fractures, dislocations, or painful joints due to inflammatory disorders. It aids in effectively realigning a fractured femur to its proper position, reducing pain and restoring perfusion to an injured leg. 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 dyna med hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years. Initial traction with portable traction splint or transosseous pin and balanced suspension. The set contains the metal hare splint with straps and ratchet, an ankle hitch, padding materials, and a litter bar. There are several different types of commercially made traction splints available. Traction splints were consistently placed on the same leg within subject testing. 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. Commercially made splints that provide for a counterpull against spasmatic muscles to achieve immobilization of femur fractures. 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. Traction splint with all associated equipment ankle hitch, straps, etc. Palpation of the patients hip reveals significant tenderness. However, the unilateral nature of the s301 requires that when positioning the splint, the traction pulley wheel be placed on its side and towards the injured limb. Applying a sager traction splint 1 of 3 expose the injured extremity and check pulse, motor, and sensory function.
Most importantly, there is really only one indication for applying a traction splint to the femur. Historically the absence of pre hospital treatment of fractured femur has led to undesirable nerve and vascular complications. Hares patent on the splint expired, the market was inundated with similar products, marketed as haretype traction splints, leupold said. The hare traction splint realigns bone ends to the proper position to reduce pain and restore blood flow and to minimize the risk of. Check out this lesson for stepbystep instructions on how to a properly apply a traction splint. Line2design traction splint childpediatric carrying case adjustable ankle straps product description. Ppt musculoskeletal injuries powerpoint presentation. Splint coding medical billing and coding forum aapc. Managing unstable musculoskeletal injuries ems world. Application of model s301, super sager form iii single leg traction splint is similar to that of its bilateral cousin model s304. Unfortunately, there are lots of contraindications. Splinting techniques are used to treat musculoskeletal system abnormalities.
Includes ratchet traction device and s ring hook, heel stand and. The information included below is designed to be used as a guide for an ischial type traction splint. Release the ratchet, extending the entire length of the traction strap. When traction is applied to the leg, the counter traction is applied against the bones of the pelvis. Hare s patent on the splint expired, the market was inundated with similar products, marketed as hare type traction splints.
We use the sager, hare, thomas and the ked brand of traction. While we work to ensure that product information is correct, on occasion manufacturers may alter their ingredient lists. 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. Use constant, gentle, manual traction to align deformities to splint. Traction splints provide a counterpull to reduce the size of the thigh and realign the fractured femur. The hare and sager traction splints are frequently used in urban and rural prehospital settings and in the emergency department. Maintain manual stabilization while applying splint.
Sam slishman at the university of new mexico to overcome many of the the operational difficulties of older traction splint designs. 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 facility should be billing the em for the physician as an mdm is required if this is er billing. There were 4 articles that described single case studies with complications directly caused by traction splint use. Chapter 30 musculoskeletal trauma flashcards quizlet. Many times, it is placed in the field by medics and the pt arrives with it in place just like the pelvic binder, once placed, the hare traction splint should not be removed except by a md. Our stateoftheart technology allows first responders to treat fractured femurs in the same manner as that used in orthopedic operating theatres where open. A traction splint is a special type of leg brace used for fractures of the long bone in the thigh. Thats why we developed the sager emergency traction splint. Ppt applying a sager traction splint 1 of 3 powerpoint. A splint is a device for support or immobilization of a limb or joint. The traction splint was developed by sir hugh thomas, an orthopedic surgeon, who lived in liverpool, england, during the 19th century.
A wide variety of sager splint vs hare splint options are available to you, menu menu. The ischial ring of the traction splint must be against the bony prominence of the buttocks ischial tuberosity. Hare traction splint for initial reduction of femur fractures prior. Then the splint cpt code can be appended to that, with a 25 modifier appended to the em. Currently, four traction splints that have been awarded nato stock numbers are in use. As such, they have a much broader range of application and use than other traction splints. It is primarily used on patients with midline femur fractures. It is used to support, protect, or immobilize an injured or inflamed part of the body. 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. For the sake of illustration, all other treatments have been omitted. Evaluation of commercially available traction splints for.
Used for fracture of the upper bone of the leg the femur. The hare, however, can be adjusted to nearly any size while the sager has. As an er physician for the last three years at the largest, busiest trauma center in. Dress any open wounds on the leg before applying the traction splint. Wide elastic support straps maintain the injured leg within the frame of the splint, helping to provide inline mechanical traction. Once exposed, there is visible bruising to the patients right thigh and also to her hip. Any material used to support a fracture is known as splint. This should be placed on patients with femur fractures. 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. Nursing care of patient on traction linkedin slideshare.
What are the indications for the use of a traction splint. Fernotrac traction splint emergency medical products. Requires two responders one to hold traction, one to apply. Paramedic psychomotor competency portfolio manual traction. Temporary immobilization of sprains, fractures, and reduced dislocations control of pain prevention of further soft tissue or neurovascular injuries 4. Radiolucent design enables xrays and catscans to be taken without. The velcro straps provide support for the leg and secure the leg to the splint. Initial pull causes discomfort for the patient, but this should subside quickly. 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. If the patient strongly resists traction or if it causes more pain that persists, stop traction and splint in the position it is in. How to fix forward head posture 3 easy exercises from a chiropractor duration. The rigidity of the splint is determined by the material used.
General principles of inline traction splinting grasp the foot or hand. May 15, 2014 emt traction splint immobilization hare type duration. Musculoskeletal injuries splinting inhs health training. Femoral shaft fractures orthopaedic trauma association. One in five 20% had treated a femoral fracture in some setting. Stabilize suspected spinal injuries on a backboard. They consist of other injuries or fractures that could sustain further damage from traction. General principles of splinting if you encounter resistance to alignment, splint in the position found. Palpation of the thigh reveals obvious crepitus and tenderness as well as swelling. 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. Hare traction splint 75924 made by hare cpr savers and. 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 pull is exerted against an opposing force provided by the weight of the body when the foot of the bed is raised. Traction splints fracture with sager emergency traction splint in place with 15lbs of traction. This scenario depicts the treatment of an isolated midshaft femur fracture. In my own experience of almost a decade of ems, i have had the opportunity to apply one only once. Sager traction splints are indicated in 93% of all femoral fractures treats midshaft and proximal third fractures. This helps reduce blood loss, alleviate pain and minimize further injury. A free powerpoint ppt presentation displayed as a flash slide show on id. Open and position the velcro straps along 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. Original use of the traction splint, first popularized by dr. 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. Dynamed hare traction splint the hare traction splint has defined the industry standard for field treatment of a fractured femur. Traction splinting new york state department of health.
Actual product packaging and materials may contain more andor different information than that shown on our web site. The dynamed hare traction splint has defined the industry standard for field treatment of a fractured femur. In 1961, the american college of surgeons recommended that traction splints be included in every ambulance in the united states. A traction splint is a splinting device that uses straps attaching over the pelvis or hip as an anchor, a metal rod to mimic normal bone stability and limb length, and a mechanical device to apply traction to the limb. Traction splints used in the field include the hare traction splint. And if youve ever tried to load a patient with a hare traction splint into a bk 117 helicopter or a type. If you cant find what youre looking for, please contact us. The most common traction splints youll see in the field are the hare bipolar and the sager unipolar. Dyna med hare traction splint the dyna med hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years. Any break in a bone, no matter whether the skin has been broken, is a fracture. Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage.
The faretec ct6 military leg traction splint is designed for prehospital care and patient transport, specifically in combat scenarios. Faretec ct6 military leg traction splint emergency medical. The metal splint has a stirrup that lifts the splint off the ground. Simple, stepbystep instructions are sewn directly on the straps. When applied, sager splint model sx404 is radiolucent to all areas of a femoral fracture. A splint is a rigid support with padding made from metal, plaster or plastic. Adjust splint to length, extending the splint so that the bend is even with the heel of the foot.
For example, a sager splint can potentially apply traction to both legs, while a single hare traction cannot. 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. Secure the ankle strap with the patients foot in an upright position and attach it to the splint. The unique design effectively realigns a fractured femur with less pain for the patient while restoring perfusion to an injured leg.
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