Re: Traction Splints

[Wildmedic17@aol.com]

       I would not use a traction splint on ANY major trauma patient UNLESS I 
could apply it without delaying tx somehow - such as having an ambulance crew 
member or my partner do it in the ambulance on the way to the LZ while I 
watched the ABC's, for instance. 
       This is the ACEP / BTLS reccomendations, too, BTW....

Allan Bulkley
NREMT-P, CCEMT-P, FP-C
Flight Paramedic


<<All,

I was posed with a interesting question by a TNCC instructor recently and 
would 
like the list's input on their practices.

The scenario is the typical car vs big rig. The victim is extricated at 
approximate the same time that the helicopter arrives. The patient is secured 

to a long backboard and ready for transport with a 10 minute flight time back 

to definitive care. Pt. has a open fx of the femur, no traction device in 
place. No spasms noted.

The questions. Would you delay transport and splint the open fractured femur 
with a splinting device? If so what ?

Would you continue to use the LBB as the "primary splinting device"? Tape to 
other other leg?

Last question Do most RW programs view the LBB as a device that can splint 
most 
fractures in the Multisystem Trauma Patient who haven't been assesed at a 
definitive care facility?

(I don't believe in well splinted cadavears)

Jim Kendrick>>




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