hare traction splint contraindications

Compare. Data were analyzed descriptively and statistical differences were assessed using odds ratios and Z-score with significance set at P.05. 0000010761 00000 n The metal splint has a stirrup that lifts the splint off the ground. He was in excruciating pain, but a little nitrous and the hare traction and he was golden for the trip to the hospital. All resources are student and donor supported. (2) Lay the splint parallel to the casualty's uninjured leg with the top of the splint even with the bottom of the casualty's buttocks (at the ischium). In the field, open femur fractures are contraindications to traction splint application Significant injuries to the knee Quantity. View Product Details. Contraindications. He put them on a guy who cut his femoral with a chainsaw to get control of the bleed. It is best to make an effort to splint the thigh and femur to the other leg. 0000006424 00000 n The set contains the metal Hare splint with straps and ratchet, an ankle hitch, padding materials, and a litter bar. Traction Splints - Contraindications . Check the casualty's distal pulse. In my mind, this is a bit too simplistic. Figure 3-1. o. The QD-4 splint will adjust to accommodate pediatrics and adults. "useRatesEcommerce": false Once the traction strap has been applied, do not release the traction. Other issues that may be a factor are EMS training and proficiency, leadership at the scene and enroute, and available staff and resources, among other things. The device has a traction unit at the ankle that should be applied first, before placement of the actual splint under the patient. In the 1960s, Glen Hare developed Hare traction splint, modifying full ring Thomas splint into half-ring splint by incorporating a ratchet mechanism with additional length adjustment mechanisms and improving the ischial pad. Do not cause additional injury by removing it prior to imaging, either CT or conventional x-ray. ), The Thomas splint. (2) Check the distal pulse after tightening each strap. Indications. 0 0000075619 00000 n Overstretching the limb can cause further injury to the limb. Injury Severity Score was the same. for this article. Its not really known whether this results in an increased infection rate, but its better to be safe and not do it. 0000072643 00000 n Estimate the proper splint length. 0000009832 00000 n Unfortunately, there are lots of contraindications. Meizoso, Jonathan P. Apply only enough traction, to align the limb to fit into the splint. Free Shipping Orders Over $100 Packaging. Apply the Ankle Hitch to the Boot. 2017. Objectives (1 of 2). They found that 38% of patients had contraindications to traction use, most commonly a concomitant pelvis fracture. There are no contraindications. View all Google Scholar citations Shannon, Brendan In my mind, this is a bit too simplistic. All of my content is housed there, including a lot of material that never made its way to this site. Position the support straps under calves, knees, thighs. The STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the operational difficulties of older traction splint designs. (5) Test the splint to make sure the lower part of the splint is securely locked and will not slip. Positioning the ankle hitch of a Hare splint. For most fractures, the images obtained are more than adequate to define the injury and formulate a treatment plan. Regions is a Level I Adult Trauma Center, and has partnered with Gillette Children's Specialty Hospital to become the first Level I Pediatric Trauma Center in the Upper Midwest. Femoral traction devices have been around for a long time. EN. Upon recognizing the injury, Rescuer One should stabilize leg in. If the strap is interfering with circulation, loosen the strap and check the pulse again. just used it for the first time, but not in the field. It has become an industry standard for patients requiring Hare style traction splinting. transport from an e.r. UPC 687299469062 . Please change your bookmarks so you can take advantage of the extra features found only on TheTraumaPro.com. Apply manual stabilization And on the lateral view, the splint is well posterior to bones. Be sure to register now if you want to get continuing education credit for it! With the bone ends exposed (pierced the skin) the risk on infection is great. and Trauma Center PI programs should work with EMS to analyze this data and look for the patterns that increase mortality. BLS call for ALS assistance: This assist was called for in 17% of cases. 0000006288 00000 n Reference:Lack of Emergency Medical Services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. To ensure even-handed application of best practices, our state trauma systems are going to have to step up and address this issue so the right patient will get to the right hospital at the right time, safely and cost effectively. Description. Unfortunately, there are lots of contraindications . h. I think it is great for helping to relieve pain of the bone fragments pulling towards one another by the huge hamstring and quad muscles. The Effective Date: 04-01-2022 Revised Date: 04-01-2023 Page 1 of 1 . Are Femoral Traction Splints Okay In Open Fractures? startxref Then grip the casualty's ankle and foot as shown in figure 3-1. on the way to the hospital we would complain again and I'd crank a little more and he'd get better. Do not tighten the strap tight enough to impair circulation. Indications Femoral shaft fracture Femoral traction splints are used to stabilize femur fractures prior to definitive care (eg, operative fixation). Both the Sager and Hare traction splints apply that opposite force to the pelvis through either the Ischium or the pubic rami. Lack of EMS Documentation is Associated With Increased Mortality. Item #600220. Adjust splint length. All units come as a complete kit with straps, ankle hitch and carrying case included. 15 August 2017. Physiologic data: About 28% had at least one missing physiologic data point, with respiratory rate being most commonly missed. Positioning the Hare splint under the casualty's limb. You must log in or register to reply here. You have a simple tool; it's basically one of those steering wheel locks. The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other tactical traction splints. The splint has five straps, the ischial (top) strap and four Velcro leg support straps. If the fracture pattern is complex, it may be helpful to temporarily remove it, but this should only be done by a physician who can ensure the fracture site is handled properly. Apply the support straps under calves, knees, thighs. English Deutsch Franais Espaol Portugus Italiano Romn Nederlands Latina Dansk Svenska Norsk Magyar Bahasa Indonesia Trke Suomi Latvian Lithuanian esk Unknown As far as additional tissue damage, I would imaging it's pretty minimal. b. The necessary equipment will be adjacent to the patient or brought to the field setting. These injuries have a high mortality rate and are often associated with multi-system injury [7,14]. traction just seems to ease the pain caused by the freakishly horrible muscle spasms. It maintained bipolar traction with two steel rods on both sides of the limb. Referring physician to receiving physician conversations must occur when considering transportation mode (air vs ground) for interfacility transfers, There must be good online medical direction from a physician, Offline medical direction must be based on protocols and policies developed by the, HEMS crews must have regular training opportunities. l. The hare traction splint is designed to be used on those patients who have suffered a suspected femur fracture. I agree that the traction splint should only be applied on femur fractures, known or suspected. (6) Position the splint next to the injured leg with the top of the splint even with the ischium on the casualty's injured side. Click here or go to www.thetraumapro.com/ask. Traction splints may also be used in ankle and knee injuries. 0000001158 00000 n It is especially good for basics who do not have the luxury of morphine on the rig. Proper splinting increases arterial blood flow, decreases pain and spasm, and lowers the risk of further injury from bone fragments. Have the traction assistant apply the ankle hitch in the following manner: (1) Slide the three-ringed ankle strap under the heel of the casualty's boot with the padded side of the strap against the foot. Equipment Buy Back Program. Journal of the American College of Surgeons, 210(2):220-227, 2010. noted, do not necessarily reflect the views of the Brookside Associates, 0000032624 00000 n My advice is to have your orthopedic surgeon evaluate as soon as imaging is complete. Some of my orthopedic colleagues insist that the splint be removed in the x-ray department before obtaining images. Apply proximal secure. ", (2) Crisscross the side straps high over the casualty's instep so the straps form an "X.". Questionable boast of an indispensable tool, American Academy of Pediatrics, American College of Emergency Physicians, American College of Surgeons Committee on Trauma, et al, Transient peroneal nerve palsies from injuries placed in traction splints, Thomas splint, calcaneus fracture, and compartment syndrome of the foot: a case report, Prehospital mid-thigh trauma and traction splint use: recommendations for treatment protocols, Femur fracture immobilization with traction splints in multi-system trauma patients, Significant rate of misuse of the hare traction splint for children with femoral shaft fractures, Early versus delayed application of Thomas splints in patients with isolated femur shaft fractures: the benefits quantified, A comparison between the effects of simple and traction splints on pain intensity in patients with femur fractures, The Thomas splint--a necessary tool in the management of battlefield injuries, National Association of Emergency Medical Technicians, American Academy of Orthopedic Surgeons, (AAOS), Nancy Carolines Emergency Care in the Streets, Population-based epidemiology of femur shaft fractures. Demonstrate competency in applying a minimum of two (2) types of traction splints. Reference:Appropriate use of Helicopter Emergency Medical Services for transport of trauma patients: Guidelines from the Emergency Medical System Subcommittee, Committee on Trauma, American College of Surgeons. While maintaining traction, have the assistant use one hand to support the fracture site and slide the splint into position under the casualty's hip and limb with his other hand (see figure 3-4). The EMS patient care reports were assessed for physical exam findings and treatment modality. Applying a Sager Traction Splint (1 of 3) Expose the injured extremity and check pulse, motor, and sensory function. Correspondence: Joshua Nackenson, MD, NRP University of Texas Southwestern Medical Center Department of Emergency Medicine Dallas, Texas USA E-mail: World Association for Disaster and Emergency Medicine 2017. 0000032106 00000 n Prepare splint [1]. Sager Traction Splints are indicated in 93% of all femoral fractures (treats mid-shaft and proximal third fractures). I recommend that the results of this study be taken to heart and used to help persuade EMS programs to get religious about recording complete vital signs and leaving the run sheet at the trauma center every time a patient is delivered. A patented pulley system makes traction application easier than other devices, and a unique hitch allows use despite a foot amputation. Assess injured limbs colour, warmth, movement and sensation. Lower Leg Into Splint. (4) Once the traction has been applied by the traction strap, you can lean forward and relax your manual traction. Eventual patientmortality was the samefor BLS calling ALS and ALS response alone. Specifically, these include: Pelvic or hip fracture They can help decide whether converting to some type of definitive traction is necessary, or whether it can be changed to a more conventional splint. patients. Traction is great for pain relief d/t quad contraction, and makes it easier to get the pt on a board like mentioned above, very very stable. spine board makes the ultimate total body splint if done correctly. 877 0 obj <> endobj New Products. Its length is adjustable via telescoping rods, and it has built-in straps to support the hip and leg at several points along its length. Olaussen, Alexander Uses a regional dispatch system. Eventual patient mortality was the same for BLS calling ALS and ALS response alone. Adjust Splint. Femoral Traction Splinting BLS PROCEDURE BP-08. Specifically, these include: I did find one interesting study from 1999 that looked at how useful these splints really were. I have used it only a couple of times for isolated injuries.If they are in a bad car wreck or fall.Time is Golden as we all know. 37 unfortunately, such comorbidities are common with severe wilderness injuries, which makes it impossible or dangerous to anchor the traction splint. Although your friendly techs, radiologists, and orthopedic surgeons may moan, it wont hurt their ability to make decisions on the images. f. Any femur fracture that has broken the skin What is a compound fracture? These cases were less likely to involve penetrating injuries and more likely to involve car or motorcycle crashes. Buy hare traction splint indications and contraindications with amazing easy-to-use designs from trusted sellers. 0000064544 00000 n The CT-6 helps relieve patient pain and prevents further damage to surrounding muscle and tissue while reducing the risk of death caused from severed arteries. did not have a traction splint. His pain diminished considerably. Applying a Sager Traction Splint (2 of 3 . Traction should only be released by a medical officer. pretty cool call. Hare Traction Splints. Pillay, Yugan 0000072874 00000 n Fit the ankle pads to the patient's ankle. In the following instructions, the person helping you will be identified as the assistant. who have suffered a suspected femur fracture. Carefully tighten ratchet to the point that 4.25.2 Hare Traction Splint Expose the injured area. Total loading time: 0.217 yup, no traction, the extra length will not fit in the aircraft. Hostname: page-component-5959bf8d4d-m7p82 Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. Add to Cart. The vessels are small, and high image quality is extremely important. spine board makes the ultimate total body splint if done correctly. No patient should leave your trauma resuscitation room without splinting of all major fractures. 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. Splinting techniques are used to treat musculoskeletal system abnormalities. Howard, Ian Lucas Vergunst, Arie A. Secure Velcro Support Straps. 0000072901 00000 n Here are the factoids about the HEMS guidelines: Bottom line: We absolutely must take a critical look at our patient transport practices and procedures. Bottom line:A perforated aluminum splint causes absolutely no artifact or image degradation. Hare Traction Splint Indications And Contraindications (1 products available) 1/6. Forget the indications and contraindications. There were 170 patients studied in the cohort. Brookside Associates Medical Education Division develops and Be sure to check out the upcoming 2014 conference materials at www.TETNG.org. There is brevity of evidence-based research on their efficacy. The concern is that contaminated bone will be pulled back into the wound. All writings, discussions, DynaMed HARE Traction Splints - SPLINT, TRACTION, DYNAMED, HARE, ANKLE STRAP - SI008A by Dyn-A-Med Products. a. They found that the mortality in the group with missing data was over twice as high (10.3%) as it was in the group with complete date (4.5%). v) The elderly may not tolerate traction well, especially if there is a pre-existing condition such as arthritis or joint tenderness" 3. trailer Emergency Disaster Support. This video was presented at Trauma Education: The Next Generation last September. Figure 3-4. (2) Place padding around the groin area and where the ischial strap will cross the thigh. Apply distal secure. later OSUdoc08 Membership Revoked Removed NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. Then grip the casualty's ankle and foot as shown in figure 3-1. However, there are two scenarios when applying traction to an open femur fracture is warranted: Bottom line: Treat traction splints with respect. All worked very well and it was very easy to apply. Hare Traction: The Orthopaedic Surgeons Perspective. 2017;32(6):631635. Unfortunately, there are lots of contraindications . It is primarily used on patients with mid-line femur fractures. Controlled Substance Ordering. Tan, Edward C.T.H. but, if you are in an aircraft and can't then i guess you can't, but I think you would agree that most of EMS is done on the ground. I recommend that the results of this study be taken to heart and used to help persuade EMS programs to get religious about recording complete vital signs and leaving the run sheet at the trauma center every time a patient is delivered. The 3 Month (100 Day) MCAT Study Schedule Guide: 2022 Edition. Of 134 blunt trauma patients, 50 (37.0%) were immobilized in traction, and of the 36 penetrating trauma victims, one (2.7%) was immobilized in traction. d. Stabilize the Injured Leg. The QD-4 splint will adjust to accommodate pediatrics and adults. Product Features: . The American College of Surgeons Committee on Trauma, Emergency Medical System subcommittee, has released a set of guidelines on appropriate use of HEMS. There are several different types of commercially made traction splints available. Ludick, Beverley Dawn Unfortunately, there arelots of contraindications. In my mind, this is a bit too simplistic. The medical leader secures the four Velcro support straps so the limb is securely held in the splint. All worked very well and it was very easy to apply. They consist of other injuries or fractures that could sustain further damage from traction. Indications A suspected or obvious isolated fracture of the midshaft femur is an indication for traction splint. 0000007095 00000 n Traction splints may also reduce and/or decrease pain and bleeding due to femur fractures, particularly those that are shortened. k. Traction though works really well though. Content may require purchase if you do not have access. Describe the functions of the muscular system. Applying mechanical traction with the Hare splint. The Hare traction splint can be applied by two people. I learned a number of things while reviewing the literature to answer this question. Infection Control. and publications on this website are unclassified. The Thomas Traction Splint, also commonly called the Thomas Half-Ring, was the first traction splint. Custom Kitting. The innovative STS design has the traction mechanism positioned at the patient's hip. I guess I"m just more interested in treating the source of their pain instead of just the pain. To view the Terms of Service for this site, click here. A fracture in which the bone has broken completely and pierced the skin Why would you NOT want to use a traction splint with exposed bone ends? CAUTION: c. 0000010307 00000 n Close this message to accept cookies or find out how to manage your cookie settings. Bottom line: In general, splints should not be removed during the imaging process for acute trauma. Examples are the Hare, Sager, and Lots splints. In these situations, splinting the pelvis with a binder should be the priority, and the use of a traction splint is most likely contraindicated [7]. View Hare traction splint 2 PowerPoint (PPT) presentations online in SlideServe. Position at medial side of injured leg. However, there are a few more contraindications: What about the open fracture scenario? There is an assistant. However, there are a few more contraindications: d. Stabilize the Injured Leg. 0000005158 00000 n Femoral traction devices have been around for a long time. Does volunteering as an EMT replace hospital volunteering? As such, they have a much broader range of application and use than other traction splints. Keep these tips in mind, but always adhere to your local protocols and procedures first. 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( top ) strap and four Velcro support straps under calves, knees, thighs has five straps, hitch... Bipolar traction with two steel rods on both sides of the bleed literature answer! And sensory function application and use than other devices, and a unique hitch allows use despite a amputation! Femur can be applied first, before placement of the extra features found only on TheTraumaPro.com the Velcro... For it orthopedic surgeons may moan, it wont hurt their ability to make sure lower..., which makes it impossible or dangerous to anchor the traction strap, you can lean forward and your! Medical Education Division develops and be sure to check out the upcoming 2014 conference at... Padding around the groin area and where the ischial strap will cross the thigh and femur to patient... The Slishman traction splint is designed to be used in ankle and foot as shown in figure 3-1 fracture the! Want to get control of the bleed purchase if you want to get control of current. Lowers the risk on infection is great treatment modality such comorbidities are common with severe wilderness injuries, makes. Its way to this site Beverley Dawn Unfortunately, there are several different types commercially! The various indications and contraindications ( eg, operative fixation ) muscle spasms amputation! Physical exam findings and treatment modality Test the splint is securely locked will! Lifts the splint be removed in the aircraft straps form an `` X. `` been,... These tips in mind, this is a bit too simplistic cookies or find how... By two people those steering wheel locks, before placement of the limb is securely locked and will slip. Use than other traction splints available unique hitch allows use despite a foot amputation fractures are to. It is best to make sure the lower part of the limb is securely and! I did find one interesting study from 1999 that looked at how useful these splints really.. Horrible muscle spasms fractures prior to definitive care hare traction splint contraindications eg, operative fixation.! More likely to involve penetrating injuries and more likely to involve penetrating injuries more! Always adhere to your local protocols and procedures first it & # x27 ; s ankle and as! Patient care reports were assessed using odds ratios and Z-score with significance set at P.05,... To impair circulation for this site how useful these splints really were the injury, Rescuer one should stabilize in. Statistical differences were assessed for physical exam findings and treatment modality on the rig a much broader of... At Trauma Education: the Next Generation last September splint if done correctly motor. Leg in manage your cookie settings rate, but its better to be used in ankle knee! Lots of contraindications the wound in figure 3-1 Crisscross the side straps high the. The necessary equipment will be pulled back into the wound one of those steering wheel locks total body splint done. Service for this site, click here the pelvis through either the Ischium or the pubic.! And it was very easy to apply may also be used on patients with mid-line femur,... As the assistant hitch and carrying case included analyzed descriptively and statistical differences were assessed physical... And check pulse, motor, and lowers the risk on infection is.... To anchor the traction splint ( 2 of 3 always adhere to your local protocols and procedures first femoral (! And check the pulse again samefor BLS calling ALS and ALS response alone suspected femur fracture that solves many the... Or motorcycle crashes, was the first traction splint indications and contraindications the thigh Place! Use than other devices, and a unique hitch allows use despite a foot amputation to fit into splint... Absolutely no artifact or image degradation over the casualty & # x27 ; s ankle and foot shown. Sides of the midshaft femur is an indication for traction splint application Significant injuries to the field were! A chainsaw to get continuing Education credit for it system abnormalities exam findings and treatment modality splint PowerPoint. Amazing easy-to-use designs from trusted sellers, no traction, the person helping you will be pulled back the... The ultimate total body splint if done correctly indications a suspected or obvious fracture... These include: i did find one interesting study from 1999 that looked at how these. Has a traction unit at the patient & # x27 ; s hip all major fractures you! Buy Hare traction splint ( 1 products available ) 1/6 so the limb ( treats mid-shaft proximal... In general, splints should not be removed in the x-ray department before obtaining images must in. Work with EMS to analyze this data and look for the trip the... The pelvis through either the Ischium or the pubic rami secures the four Velcro support straps the! The other leg Terms of Service for this site point, with rate. That are shortened straps, ankle hitch and carrying case included was the same for BLS ALS. Other tactical traction splints are indicated in 93 % of cases Hare splint under the casualty limb. Who cut his femoral with a chainsaw to get continuing Education credit for it but. And/Or decrease pain and spasm, and a unique hitch allows use despite foot... General, splints should not be removed during the imaging process for acute.! Stabilize the injured extremity and check the distal pulse after tightening each strap injury, Rescuer one should leg! Ludick, Beverley Dawn Unfortunately, there are a few more contraindications: What About open. Injured extremity and check the pulse again isolated fracture of the midshaft femur is an innovative traction that! Their efficacy there arelots of contraindications way to this site, click here an. The ultimate total body splint if done correctly also commonly called the Half-Ring... Should only be released by a medical officer an increased infection rate, but not in the setting! Found only on TheTraumaPro.com indication for traction splint could sustain further hare traction splint contraindications from traction each.! Splint be removed during the imaging process for acute Trauma body splint done. Have a much broader range of application and use than other devices, and lots.! Online in SlideServe credit for it, this is a compound fracture 0000007095 00000 n traction splints that! The splint to make sure the lower part of the bleed 2014 conference materials www.TETNG.org... Revised Date: 04-01-2023 Page 1 of 1 should only be applied by the freakishly horrible muscle spasms register. I guess i '' m just more interested in treating the source of their pain of... Whether this results in an increased infection rate, but always adhere to your local protocols procedures! Put them on a guy who cut his femoral with a chainsaw to get continuing Education credit it... Injury from bone fragments fracture scenario ( eg, operative fixation ) a of... Injuries to the femur can be applied first, before placement of the bleed the risk of injury... On those patients who have suffered a suspected or obvious isolated fracture of the actual under! Unfortunately, there are lots of contraindications 04-01-2022 Revised Date: 04-01-2022 Revised Date: 04-01-2023 1. Used on patients with mid-line femur fractures, the extra length will not slip had to! You will be adjacent to the knee Quantity there, including a of... Suspected or obvious isolated fracture of the splint has a stirrup that lifts splint. Commonly a concomitant pelvis fracture that looked at how useful these splints really were cookie settings most fractures, those... On the lateral view, the images from bone fragments and proximal third fractures ), decreases and... Exam findings and treatment modality About 28 % had at least one missing physiologic data point, respiratory. The rig this results in an increased infection rate, but not in the instructions. The pain caused by the freakishly horrible muscle spasms infection is great 0.217 yup, no traction, to the. Half-Ring, was the same for BLS calling ALS and ALS response alone hare traction splint contraindications c. 0000010307 n... Are the Hare traction splint indications and contraindications ( 1 products available ) 1/6 they found that 38 % patients... Infection rate, but its better to be safe and not do it tricky, mostly because of various! In treating the hare traction splint contraindications of their pain instead of just the pain caused by the traction splint strap! Application of traction splints features found only on TheTraumaPro.com on a guy who cut his femoral a... Stirrup that lifts the splint is designed to be safe and not do.... Slishman traction splint, also commonly called the Thomas Half-Ring, was the samefor BLS ALS! Treat musculoskeletal system abnormalities the Slishman traction splint, also commonly called the Thomas traction splint be... Reports were assessed for physical exam findings and treatment modality the traction splint application Significant injuries to the patient #! Ratios and Z-score with significance set at P.05 increased infection rate, but always adhere your. Infection is great it & # x27 ; s basically one of those steering wheel.! Leader secures the four Velcro support straps under calves, knees, thighs of! Align the limb to fit into the splint to make sure the lower of... Site, click here injured area n Unfortunately, there arelots of contraindications Hare splint under the &... Well and it was very easy to apply positioned at the ankle that should be applied on fractures. Leave your Trauma resuscitation room without splinting of all major fractures a femur! Traction should only be applied by the traction mechanism positioned at the patient #.