The ischial ring of the traction splint must be against the bony prominence of the buttocks ischial tuberosity. One reader has asked about the timing of removal of these devices after they arrive at the hospital. Since the 1980s the hare as i will simply refer to it, became the standard in ems and a staple in emt training programs. Thomas half ring splint same as for the hare splint plus this device does not include a positive traction device, straps, or heel stand, and is considered by this. Sep 01, 2002 the splint eliminates the 2030 of flexion allowed by wool and crepe alone. Traction splints are recommended on all midshaft femur fractures to.
Traction splints applying the ktd traction splint taming. 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. 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. Children under the age of 2 years should be evaluated for evidence of nonaccidental trauma child abuse.
The hare was first developed in the 1960s by introducing a ratchet mechanism into the thencommonly used thomas splint. Does the use of traction splints in the prehospital management of. 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. Sager traction splint manual for emr and first responder courses. Konig knledfldrl10w user manual pdf download manualslib. A traction splint for applying traction to an injured limb of a patient. It is significantly more compact and lighter than the hare traction splint. Is routine splintage following primary total knee replacement. Prehospital use of the traction splint for suspected midshaft femur. The reel splint the gold standard for knee trauma and. Manual stabilization of cspine must continue until the head is secured to a spine board, long or.
The hare traction splint is a further adaptation of the thomas splint. Traction splints fracture with sager emergency traction splint in place with 15lbs of traction. Traction splints provide a counterpull to reduce the size of the thigh and realign the fractured femur. Watch how easy it is to apply the slishman traction splint sts brands of traction splint, donway, hare, ct traction ct6 sager splint application of a thomas femur traction splint additional. That the reel splint be incorporated into the training syllabus for the emt school and the hs school. A retrospective audit of electronic patient care records epcrs highlighted the infrequent use of the traction splint for the. 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. Dynamed hare traction splint blue accessory bag type 1 wstraps see listing. Paramedic psychomotor competency portfolio manual traction. In the 1960s, glen hare developed hare traction splint, modifying full. 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 also provides a more comfortable ankle strap and a small winch that makes it much easier to apply and adjust traction force. Prehospital midthigh rauma and traction splint use.
Trauma meded regions hospital trauma acute care surgery. The hare traction is the one found in the sru and in many emergency departments throughout the world. Introduces military orthopaedic hospitals during ww1. Hare s splint streamlined the application process and eliminated much of the improvised nature of it.
Traction splinting hare traction splint provide manual stabilization manual traction may relieve pain. Sager traction splints provide near perfect alignment. If you plan to have one, you must develop a good technique. The hare splint modified the full ring thomas splint into halfring splint through the incorporation of a ratchet mechanism. Paramedics, physicians, nurses brohi, 2008 hare traction indication. Applying a hare traction splint 3 of 3 ppt video online download. The kind of traction a mobilization splint uses has major influence on the final design of the splint. View and download konig knledfldrl10w user manual online.
The company he founded, dynamed, still proudly makes the splint. If the leg is elevated at all, manual traction must be applied before elevating the leg. Applies application of manual traction 1 assesses motor, sensory, and circulatory function in each extremity 1 note. That the air splints and the hare traction splint be replaced with the reel splint when replacement is required. Hare traction splint, the original traction splinting device, realigns a fractured femur to its proper position. Subtrochanteric femur ap pelvis, aplat femur distal femoral traction, tibial traction orif. In any case, the objective is to minimize the total amount of time in the traction splint to avoid any further injury to other structures.
Sager emergency traction splints and the minto fracture kit. Advocates believe that splints assist in preventing flexion deformity and contribute to keeping dressings in place, but there is no evidence base for their routine use. Hare uses bipolar traction with bilateral steel rods. Hare traction device verify that the ischial pad is against the ischial tuberosity. Three of the traction splints are commercially available. Usually splint where found if distal circulation compromised, move slightly to restore circulation warn patient about pain formable splint reassess neurovascular status extremity trauma. This helps reduce blood loss, alleviate pain and minimize further injury. There are a number of commercially available traction devices. 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. Scott d flinn md, elise t gordon md, in the sports medicine resource manual, 2008. Chapter 29 orthopaedic injuries and principles of splinting. Two persons are necessary to apply the traction splint.
Adjust splint to length, extending the splint so that the bend is even with the heel of the foot. The hare traction splint quickly became the most popular traction splint and it was what i used in my early years in ems. Pdf to investigate whether a traction splint made from improvised materials is as efficacious as. Download the sager traction splint user guide for emergency medical responder courses in kelowna, bc. Traction splints are widely used for immobilisation of fractures of. The candidate should be awarded one 1 point as if manual traction were applied. They include the wlc, ct6, fastset3, el3000, pst and many more. Open and position the velcro straps along the splint. 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. Hare traction splint replacement straps only dick medical. Long bone fracture of the lower extremity mid shaft femur rdor. Historically the absence of pre hospital treatment of fractured femur has led to undesirable nerve and vascular complications.
Traction splints used in the field include the hare traction splint. They have been around for quite a while, and the famous hare traction splint is a modern version of the thomas halfring splint. The traction splint was developed by sir hugh thomas, an orthopedic surgeon, who lived in liverpool, england, during the 19th century. The information included below is designed to be used as a guide for an ischial type traction splint. Skill drill 301 performing manual inline stabilization skill drill 302 immobilizing a patient to a long backboard.
Release the ratchet, extending the entire length of the traction strap. The traction pulls the muscles of the thigh back to their normal length and allows the fractured femur to slip back into alignment. Ppt femur fracture pres christian micallef academia. Qd4 hare traction leg splint faretec pdf catalogs technical. Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage. This is completed after manual stabilization of the injury. The traction splint includes a pair of spaced adjustably extensible side members, a traction mechanism coupled to first ends of the side members for exerting a pulling force on the limb, and a cross member traversing second ends of the side members and adapted to abut a portion of the patient. This is a youtube video that was posted on the internet. Currently, four traction splints that have been awarded nato stock numbers are in use. Relative contraindications to the use of traction splints include hip dislocation, fracturedislocation of the knee, and concomitant ankle injury. There are several types of splints used in tractions, including thomas, hare, ct6, and slishman traction splints, among others. When i pulled it out of its case, it was not the familiar hare traction. Borschneck devised the sager splint pad between legs, rod. Guidelines for the application of traction splints recommend applying a force equal to 10% of the body weight of the patient not exceeding 15 pounds.
Hare traction splints require the injured part to be in near anatomical position prior to application, and is a single purpose device designed for use on leg fractures only. Femoral traction devices have been around for a long time. The most common traction splints youll see in the field are the hare bipolar and the sager unipolar. These results were achieved while also scoring good subjective. This leg split users guide and instruction manual shows how to quickly and accurately identify the 12 components of the splint, how to connect them, how to properly use them to secure a leg injury and develop pain relieving traction with no further damage to the leg. Have the assistant position himself at the casualtys injured thigh and gently support the thigh above.
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. Continue to apply mechanical traction untilthe pain and muscle spasms are relieved. Note how the alignment of fracture occurs and that pressure on the critical structures below the femoral shaft is absent. Skeletal comparisons between sager and hare hare ischial pad splint. 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. The reel splint the gold standard for knee trauma and more.
These splints were developed primarily to treat fractures of the femur thigh bone. The only way to do this is to practice, practice, and practice some more. Mar 01, 2012 a recent study of the hare traction splint showed that 30 minutes after application only half of the initial traction force remained. Application of model s301, sager form iii single leg traction splint is similar to that of its. Its length is adjustable via telescoping rods, and it has builtin straps to support the hip and leg at several points along its length.
Hare traction splint showed that 30 minutes after application only half of the initial traction force. Traction splint with all associated equipment ankle hitch, straps, etc. The sager traction splint is a specialized piece of. There are several different types of commercially made traction splints available. The dynamed hare traction splint has defined the industry standard for field treatment of a 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 further damage to nerves or. A fraction splint for providing treatment to a broken or damaged lower extremity which includes a segmentedpole, an ankle assembly having a pad, strap, and retaining assembly, wherein the ankle assembly is retained inwardly of the foot, a groin assembly having a pad, strap, and tensioning assembly extending away from the ankle assembly, and a plurality of cravat straps. If the sagar splint or the kendricks traction device is used without elevating the patients leg, application of manual traction is not necessary. Traction splints are very complicated to apply compared to an air splint. Hare traction splint, spinal immobilization ked, long bone. Aplat femur, aplat knee, ap pelvis knee immobilizer, or tibial traction orif.
A traction splint such as a hare or sager splint is used to reduce patient pain, secure the leg in an appropriate position and restore length to the femur figure 1114. Sunmedica inc is pleased to partner with ems instructors by providing you with the sager instructors manual. Realign fracture, decrease muscle spasms, and restore blood flow. This video demonstrates one correct way to perform hare traction splint to help prepare you for the new york state emt practical skills examination. Aplat femur, aplat knee, ap pelvis hare traction splint, or speed splint orif.
That the thomas half ring splint be removed from all authorization lists, and that its use be discontinued. Dress any open wounds on the leg before applying the traction splint. A recent study of the hare traction splint showed that 30 minutes after application only half of the initial traction force remained. A sweet little old lady had fallen and broken her femur, and my partner sent me back to the rig for our traction splint. Consult faretecs qd4 hare traction leg splint brochure on medicalexpo.
1303 727 166 525 290 1726 1562 1273 1348 1671 141 1285 1585 458 1024 377 406 533 446 366 798 293 974 220 1493 1522 590 808 1191 548 1507 868 198 1489 1768 1089 11 1050 874