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. A traction splint is a special type of leg brace used for fractures of the long bone in the thigh. Unfortunately, there are lots of contraindications. Traction splints used in the field include the hare traction splint. Femoral shaft fractures orthopaedic trauma association. It is primarily used on patients with midline femur fractures.
This scenario depicts the treatment of an isolated midshaft femur fracture. Splint coding medical billing and coding forum aapc. The metal splint has a stirrup that lifts the splint off the ground. When applied, sager splint model sx404 is radiolucent to all areas of a femoral fracture. Paramedic psychomotor competency portfolio manual traction. Any material used to support a fracture is known as splint.
Musculoskeletal injuries splinting inhs health training. It is used to support, protect, or immobilize an injured or inflamed part of the body. Hare traction splint 75924 made by hare cpr savers and. Sager traction splints are indicated in 93% of all femoral fractures treats midshaft and proximal third fractures. Dress any open wounds on the leg before applying the traction splint. Maintain manual stabilization while applying splint.
Requires two responders one to hold traction, one to apply. The dyna med hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years. Evaluation of commercially available traction splints for. Position the splint on the inside of the injured leg and adjust the length so it extends approximately 4. Traction splints fracture with sager emergency traction splint in place with 15lbs of traction. Our stateoftheart technology allows first responders to treat fractured femurs in the same manner as that used in orthopedic operating theatres where open. Initial pull causes discomfort for the patient, but this should subside quickly. Three of the traction splints are commercially available. Developed over 30 years ago, the hare traction splint is the original traction splinting appliance. Thomas during the first world war, included the use of the device for femur fractures resulting from gunshot. Hare s patent on the splint expired, the market was inundated with similar products, marketed as hare type traction splints.
The facility should be billing the em for the physician as an mdm is required if this is er billing. Open and position the velcro straps along the splint. As an er physician for the last three years at the largest, busiest trauma center in. Apr 29, 2020 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.
Traction splinting new york state department of health. It aids in effectively realigning a fractured femur to its proper position, reducing pain and restoring perfusion to an injured leg. 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. One in five 20% had treated a femoral fracture in some setting. The hare traction splint realigns bone ends to the proper position to reduce pain and restore blood flow and to minimize the risk of.
Hares patent on the splint expired, the market was inundated with similar products, marketed as haretype traction splints, leupold said. Note how the alignment of fracture occurs and that pressure on the critical structures below the femoral shaft is absent. Hare traction splint for initial reduction of femur fractures prior. Temporary immobilization of sprains, fractures, and reduced dislocations control of pain prevention of further soft tissue or neurovascular injuries 4. 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 velcro straps provide support for the leg and secure the leg to the splint. For the sake of illustration, all other treatments have been omitted. Commercially made splints that provide for a counterpull against spasmatic muscles to achieve immobilization of femur fractures. Managing unstable musculoskeletal injuries ems world. Chapter 30 musculoskeletal trauma flashcards quizlet. Hare traction splint, the original traction splinting device, realigns a fractured femur to its proper position. Fernotrac traction splint emergency medical products.
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. Application is fast and easy with the onepiece design. Simple, stepbystep instructions are sewn directly on the straps. Any break in a bone, no matter whether the skin has been broken, is a fracture. While we work to ensure that product information is correct, on occasion manufacturers may alter their ingredient lists.
The fernotrac traction splint is available in adult and pediatric sizes, or as a kit, and includes carrying case. Radiolucent design enables xrays and catscans to be taken without. In my own experience of almost a decade of ems, i have had the opportunity to apply one only once. Traction splints are used only on the lower extremity, usually for a fracture of the femur. The ischial ring of the traction splint must be against the bony prominence of the buttocks ischial tuberosity. They consist of other injuries or fractures that could sustain further damage from traction. Ppt applying a sager traction splint 1 of 3 powerpoint. Line2design traction splint childpediatric carrying case adjustable ankle straps product description. The traction splint was developed by sir hugh thomas, an orthopedic surgeon, who lived in liverpool, england, during the 19th century.
Subjects had previously trained on traction splints an average of approximately 6 times. 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. Release the ratchet, extending the entire length of the traction strap. Currently, four traction splints that have been awarded nato stock numbers are in use. Emt traction splint immobilization hare type duration. A free powerpoint ppt presentation displayed as a flash slide show on id. Nursing care of patient on traction linkedin slideshare. The hare and sager traction splints are frequently used in urban and rural prehospital settings and in the emergency department.
Traction splints were consistently placed on the same leg within subject testing. 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. Preformed splints are now the most common type of splint used for patients with fracture, dislocation, or subluxation. Femoral traction splints in mountain rescue prehospital care. The set contains the metal hare splint with straps and ratchet, an ankle hitch, padding materials, and a litter bar. Ppt musculoskeletal injuries powerpoint presentation. General principles of splinting if you encounter resistance to alignment, splint in the position found. As such, they have a much broader range of application and use than other traction splints. 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. Initial traction with portable traction splint or transosseous pin and balanced suspension.
There were 4 articles that described single case studies with complications directly caused by traction splint use. This should be placed on patients with femur fractures. Then the splint cpt code can be appended to that, with a 25 modifier appended to the em. Wide elastic support straps maintain the injured leg within the frame of the splint, helping to provide inline mechanical traction. Faretec ct6 military leg traction splint emergency medical.
When traction is applied to the leg, the counter traction is applied against the bones of the pelvis. 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. Use constant, gentle, manual traction to align deformities to splint. This is a video of new york states long bone traction splinting station 6c. Splinting techniques are used to treat musculoskeletal system abnormalities.
Historically the absence of pre hospital treatment of fractured femur has led to undesirable nerve and vascular complications. 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. The information included below is designed to be used as a guide for an ischial type traction splint. Traction splints provide a counterpull to reduce the size of the thigh and realign the fractured femur. 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. Complications included pressure sores,11 compartment syndrome,12 peroneal nerve palsies, and urethral injury. 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. Stabilize suspected spinal injuries on a backboard. Sam slishman at the university of new mexico to overcome many of the the operational difficulties of older traction splint designs. Secure the ankle strap with the patients foot in an upright position and attach it to the splint. How to fix forward head posture 3 easy exercises from a chiropractor duration. Thats why we developed the sager emergency traction splint. The dynamed hare traction splint has defined the industry standard for field treatment of a fractured femur. All emts are taught the procedure for applying a traction splint, but too often it is done in the classroom then never again.
Traction splint with all associated equipment ankle hitch, straps, etc. Once exposed, there is visible bruising to the patients right thigh and also to her hip. Applying to an extremity what is involved in applying a splint to an extremity. The most common traction splints youll see in the field are the hare bipolar and the sager unipolar. Palpation of the thigh reveals obvious crepitus and tenderness as well as swelling. Dynamed hare traction splint the hare traction splint has defined the industry standard for field treatment of a fractured femur. Application of model s301, super sager form iii single leg traction splint is similar to that of its bilateral cousin model s304. Palpation of the patients hip reveals significant tenderness.
May 15, 2014 emt traction splint immobilization hare type duration. 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. 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. Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage. We use the sager, hare, thomas and the ked brand of traction. If you cant find what youre looking for, please contact us.
The hare, however, can be adjusted to nearly any size while the sager has. The hare traction splint can be applied by two people. 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. Check out this lesson for stepbystep instructions on how to a properly apply a traction splint. A wide variety of sager splint vs hare splint options are available to you, menu menu. Your emtbasic partner suggests that you use a hare traction splint to pull traction prior to moving the patient. Applying a sager traction splint 1 of 3 expose the injured extremity and check pulse, motor, and sensory function. Big thing to remember is that sager can be used for bilateral femurs and the hare isnt designed for it. What are the indications for the use of a traction splint. A splint is a device for support or immobilization of a limb or joint. 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. 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.
Most importantly, there is really only one indication for applying a traction splint to the femur. There are several different types of commercially made traction splints available. Includes ratchet traction device and s ring hook, heel stand and. 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. 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. Adjust splint to length, extending the splint so that the bend is even with the heel of the foot. 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. This helps reduce blood loss, alleviate pain and minimize further injury.
Used for fracture of the upper bone of the leg the femur. If the patient strongly resists traction or if it causes more pain that persists, stop traction and splint in the position it is in. One of the reasons im asking is because they both seem fairly straight forward to. In 1961, the american college of surgeons recommended that traction splints be included in every ambulance in the united states.