Re: Traction Splints

["Jeff Brosius" <reno316@hotmail.com>]

>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.

Hemodynamically stable?  Tachycardia?  Hypotensive (absolute or relative?)  
Other significant injuries?

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

If otherwise OK, I'd apply a splint (Thomas Half-Ring, since that's the only 
thing we carry.)  If not, then a fast ankle hitch with a cravat secured to 
the LBB.

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

See above.

>(I don't believe in well splinted cadavears)
>

Neither do I.


------------
JRB

Jeff Brosius,
Paramedic, etc.
Atlanta, GA
www.prehospital-perspective.com
brosius@prehospital-perspective.com
"Give me ambiguity or give me something else."


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