Re: Traction Splints

["Eric Niegelberg [Emergency Medicine]" <eniegelb@epo.hsc.sunysb.edu>]

Can you provide the citation of not using a traction splint.  I can 
see not splinting any other body part except for the femur.  While 
the backboard will provide adequate stabilization for anything, 
including the extremities, only a traction splint can minimize blood 
loss in the thigh.


> From:          Wildmedic17@aol.com
> Date:          Wed, 9 Oct 2002 11:36:02 EDT
> Subject:       Re: Traction Splints
> To:            flightmed@flightweb.com
> Reply-to:      flightmed@flightweb.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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> 
******************************************************
Eric Niegelberg                     Tel: 631-444-2496
EMS Director                        Fax: 631-689-7376
Emergency Department Administrator
******************************************************


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