Level 1 evidence is a systematic review of randomized, controlled trials and level 5 is expert opinion. Use for phrases CT-6 Splint. to splint an isolated mid-shaft femoral fracture What does an isolated mid-shaft femoral fx mean? Prehospital midthigh trauma and traction splint use: recommendations for treatment protocols. From the questionnaire it was evident that team members thought of the splint as a useful tool, believing it to reduce the complications of a femur fracture, and they reported that generally they did not have any difficulties in using traction splints. Immobilization of midshaft or distal femur fractures is thought to decrease pain for the patient during transport and to decrease the amount of bleeding and hemorrhage. This study has been discussed with the U.K. NHS Research Authority Research Ethics Committee. 4. BMJ. An adult unit is not adjustable for . It is unlikely any femur fractures were clinically missed by the rescue teams; however, other soft tissue thigh injuries could have been mistaken for a fracture and included in the data, which records the clinical diagnosis made on scene. 6- 28 TRACTION SPLINTING NOTE: A traction splint is the splint of choice and is to be used only for a painful, swollen, deformed mid-thigh injury with NO lower leg injury. Level 4. The results were generally positive, with most team members perceiving suggested benefits at 5 (very beneficial; The literature search initially found 141 articles. This could be a stretcher, a rod, or a piece of wood. Traction splints are a temporary form of immobilization, as prolonged use of traction splints can cause pressure sores. Nevertheless clinical suspicion of a fracture in the prehospital setting demands treatment for the suspected injury. Image source It's gonna hurt the patient like crazy when you first place it but after a short time it will help. 19.19 ). An emergency femoral traction splint is designed to apply traction to the lower extremity at the distal end of the fracture, usually to pull the ankle away from the stable pelvis. Cost Effective For Hospitals and EMS. Admit Typically requires ORIF; See Also. A Descriptive analysis of traction splint utilization and IV analgesia by emergency medical services. Ensure adequate traction is applied by using the traction scale if available on the specific device. The light, compact splint is designed to apply femoral traction to relieve pain and reduce hemorrhage and the possibility of further neurovascular injury. Responses were obtained from many of the teams who treat the greatest number of casualties, and therefore we suggest this represents a reasonable picture of current attitudes. It is primarily used on patients with mid-line femur fractures. o [ pediatric abdominal pain ] A femoral traction splint is a mechanical device that uses traction to align and provide stability to femoral fractures. Of these 141 articles, we identified 17 plus 1 conference abstract relevant to the hypothesis. It maintained bipolar traction with two steel rods on both sides of the limb. Your delivery address has an impact on prices and inventories. Traction splinting is the standard of care management of femoral shaft fractures in the prehospital setting given the appropriate patient. No evidence for best methods for managing femoral fractures. A questionnaire was sent out to all MREW teams to assess attitudes toward traction splints. Femoral Traction Splint. This study shows that all teams own one and usually carry it out to casualties when a femur fracture is suspected. No information on search criteria and inclusion/exclusion of studies. Published by Elsevier Inc. All rights reserved. Closed treatment with traction, splinting, and casting may be temporary treatment or definitive treatment . This helps reduce blood loss, alleviate pain and minimize further injury. The company that makes the Hare traction splint gives the sole indication as a suspected femur fracture, and the sole contraindication as an open femur fracture. It is possible to insert these instruments into the femoral and bifurcated shafts of the femur and tibia. This is the location linked to your SPI customer account. Thomas splint, calcaneus fracture, and compartment syndrome of the foot: a case report. When you are logged in you get all the correct prices, availabilities and shipping costs for your account agreement. Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. Femoral traction splints are designed to apply traction to the lower portion of the leg, distal to the fracture, usually by pulling the ankle away from a stabilized pelvis. Speedsplint Femoral Traction Kit FASSM200: Fast and easy-to-apply splint for emergency use when temporary immobilization of the femur (upper leg/hip area) is required Easy to monitor the injured body part after application Effective for sea and heavy rain rescues Buoyant and features drain holes Permits complete padding procedures for effective immobilization Can be worn during X-ray . The splint can go with the patient to X-Ray or even surgery and be thrown out after. The Mountain Rescue England and Wales database was searched for cases of suspected fractured femur occurring between 2002 and 2012, a questionnaire was sent to all mountain rescue teams in England and Wales, and a literature review was performed. Traction splints will actually help splint the leg to prevent movement and the traction will also help reduce the possibility of nerve damage/vascular damage while also offering pain relief for the patient. The reason may be the frequency of calls and the nature of the terrain, with these teams operating in high mountainous environments a long way from habitation yet also operating in national parks with high numbers of visitors. Femur fractures are rare within mountain rescue. They come made for left and right legs . In the context of mountain rescue and other situations of prehospital care, it is reasonable to ask whether other forms of splint may be as effective or superior to the femoral traction splint. Curious were the National standard guidelines are located? No details of follow-up, complications, and outcomes. NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. The Oxford Centre for Evidence-Based Medicine describes the quality of evidence in levels from 1 to 5. treatment. Femoral fractures should be surgically fixed within 24-48 hours, although sooner if an open fracture. Lightweight and Compact - The STS weighs only 0.60kg and is 58.5cm W x 7.7cm H in size. . MB), Help with The first femoral traction splint was designed in 1875 by Hugh Owen Thomas for the treatment of chronic joint problems, in particular tuberculosis of the knee. The original evidence promoting traction splint use comes from Dr Henry Gray, who, in a book about war wounds written in 1917, noted that the death rate from gunshot femoral injury was around 80% but that during one battle the death rate fell to 15% when most casualties were fitted with the Thomas splint. Femur fractures are uncommon in mountain rescue, with an incidence of suspected femur fractures on scene at 9.3 a year. It has been made more rigid and indestructible with thicker carbon tubes. Protocols will vary, but national standard is NO traction on an open fracture. Conclusions based on only 4 case studies. It was not possible to separate neck of femur fractures from shaft of femur fractures in the database search, and these would not normally be treated with a traction splint. After 2 years of development, the next-generation CT-7 is finally available. However, in prehospital care, treatment is determined by clinical findings and thus this represents real-world practice. Application of a traction splint, however, is a somewhat uncommon, and therefore potentially unfamiliar . Level 4. Hare Traction Splint (Bipolar Traction Splint) Wilderness Environ Med 2015;26:305-11. Please enter a term before submitting your search. fracture comminution. 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. Consider traction splint Little evidence to support its use; Theoretical benefit of traction splinting is reduction in bleeding and improved pain; Sager and Hare splints are commonly used by EMS providers; Buck's traction used by ortho; Disposition. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. The Hare splint is not effective with proximal femur shaft fracture because the ischial pad may rest directly under the fracture. Stabilize the device against the pelvis and the ankle as directed by the product instructions, including the proper sequence of these steps. Mountain rescue team members report few difficulties in use despite their limited practical experience. To splint the bone, a hard object is tied to the edge of the leg. Objective: To describe the use of traction splinting in children with femoral shaft fracture and to determine if timing of traction splinting application effects outcome. PO Box 508, MORNINGSIDE, QLD 4170. night-time surgery. It has a smaller footprint and no longer extends beyond the patients foot. Immobilize the leg: either with a posterior splint or simply a pillow under the thigh. Original use of the traction splint, first popularized by Dr. Thomas during the First World War, included the use of the device for femur fractures resulting from gunshot wounds, which by definition are open fractures. No concerns were identified and it was deemed further review was not required. When people suffer a severe femur fracture, such as that in an auto accident, there are major complications which might develop. First, a traction splint stretches out the powerful muscles of the thigh (and the surrounding fascia), which compresses blood vessels embedded in the muscles and holds the bone ends in place. Wood et al. The number of femur fractures in mountain accidents has been identified in other literature. However, the mean age of casualties in the database was 38, and the total number of cases older than 70 years was 11. The rst femoral traction splint was designed in 1875 by Hugh Owen Thomas for the treatment of chronic joint problems, in particular tuberculosis of the knee.1 During the First World War, Dr Jones introduced femoral traction splints into military practice.2 They became the Nackenson J, Baez AA, Meizoso JP. CT7 Femoral Traction Splint SKU: F.1126629 After 2 years of development, the next-generation CT-7 is finally available. Here in NY State, whatever type or brand traction splint, CONTRA-Indicated to use for fx leg if possible tib-fib involvement. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. Ellerton et al, as part of the International Commission for Mountain Emergency Medicine. Traction can overcome muscle spasm. image, Download .docx (.08 This is the first work to perform follow-up and look at outcomes. if . DOI: https://doi.org/10.1016/j.wem.2015.01.006, Corresponding author: Harriet Runcie, MB, ChB, North Cumbria University Hospitals NHS Trust, Emergency Department, West Cumberland Hospital, Whitehaven, CA28 8JG, North Cumbria University Hospitals NHS Trust, Emergency Department (Dr Runcie), and Emergency Medicine (Mr Greene), West Cumberland Hospital, Whitehaven, UK. To determine the incidence of femur fractures in mountain rescue in England and Wales. A splint is a medical device used to prevent an injured body part from . Children that sustain femur fractures prior to walking age should be screened for non-accidental . there are no other injuries to hip and legs; the fx is in the middle of the femur Case presentation with literature review based on case studies. Greene is Medical Officer for Mountain Rescue England and Wales and a member of The International Commission for Alpine Rescue Medical Commission. Thank you to the members of the MREW teams for completing the questionnaire. That is the question. Literature review of mainly case series studies. This was a commonly used traction apparatus. From field to hospital: When applied, Sager Splint model SX404 is radiolucent to all areas of a femoral fracture. This study suggests a mountain rescue team in England and Wales will encounter a casualty with a femur fracture on average every 6 to 7 years. Use adequate analgesia (usually IV opioids) because traction splinting of femur fractures is painful. The following video has been prepared by the Queensland Ambulance Service and demonstrates the correct application of the CT-6 Splint on an adult patient with a femoral shaft fracture. Unknown whether contraindications had an adverse effect. Ideally this should be a femoral nerve block; Measure the . We found very little evidence supporting the use of prehospital traction splints in the literature. Jones R. Correspondence: Treatment of Fractures of the Thigh. Image, Download Hi-res All rights reserved. To update your cookie settings, please visit the, Finger and Toe Temperature Responses to Cold After Freezing Cold Injury in Elite Alpinists, Norovirus Outbreaks Among Colorado River Rafters in the Grand Canyon, Summer 2012, Prehospital Trauma Life Support Committee of the National Association of Emergency Medical Technicians with the Committee on Trauma of the American College of Surgeons. The traction splint is used to secure the leg in a better, near-reduced position. o [teenager OR adolescent ]. The splint is x-ray penetrable and adjusts to fit most heights. A microadjustment system allows for precise traction application and adjustment. Femoral shaft fractures should be put into skin traction (10% of body weight) to help with pain management. No trials demonstrate that traction splints reduce morbidity or mortality, but a number describe complications resulting from their use. Fell walking injuries in Cumbria: a review. Those with prehospital traction splints fitted had fewer units of blood transfused in the first 24 hours and had shorter hospital stays. Limited available literature. 2015 Wilderness Medical Society. Available in the following: Contact There are some precautions to be taken before using traction splints. This site complies with the HONcode standard for trustworthy health information: Methods: A retrospective descriptive study conducted over a five and a half year period (1 January 1996 to 1 July 2001) on children presenting with femoral shaft fracture to a Paediatric trauma centre. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. Five articles discuss traction splint use, either from reviewing the literature or after discussing case reviews (Table). Traction splints are recommended for all mid-shaft femoral fractures to ensure patient comfort and better alignment of the fracture. The basic concept is to overcome deforming forces around the fracture. In addition, they have to be carried to the scene and can only be used for a single type of injury. This study was designed to investigate the strength of literature supporting the use of femoral traction splints and the attitudes of rescuers who use them. verify here. Femoral neck fractures can be occult: if patient has significant pain or cannot ambulate, do advanced imaging. Follow the instructions and recommendations for the specific product being used. A further 4 discussed the history of the traction splint (. They became the standard definitive treatment for femur fractures until the development of femoral nailing in the 1950s. Ninety-three percent of team members reported having had training on traction splint use within the past year, with 75% of those within the last 6 months. A microadjustment system . This is likely to be a result of the teaching they receive and the practice advised in current guidelines, rather than from personal experience. It is primarily used on patients with mid-line femur fractures. These injuries were identified by the mountain rescue team members and included all clinically suspected femur fractures. It is prudent to identify patients at higher risk of developing complications of immobilisation. Midmed is committed to embracing diversity and eliminating all forms of discrimination. Disposable, No Cross-Contamination, Single-Patient Use. Observation study of 5 cases, no follow-up. Please confirm that you are a health care professional. Apply longitudinal traction on the ankle to straighten and lengthen the shortened leg to the length of the contralateral leg. A review of guidelines needed; perhaps ambulances do not need to carry a traction splint. Traction splinting should be used along with other pain control techniques to make the patient feel comfortable. Traction splints are useful in the treatment of closed and open . Traction splints are used to keep a bone in a nearly-reduced position in a fracture. However, in keeping with the International Commission for Alpine Rescue (ICAR) guidelines. @article{Runcie2015FemoralTS, title={Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? Femoral traction splints are designed to apply traction to the lower portion of the leg, distal to the fracture, usually by pulling the ankle away from a stabilized pelvis. Following the intervention period, however, traction splint use increased significantly (Median 50%). To investigate attitudes toward traction splints, a questionnaire was designed (. There are six basic methods of skeletal traction of the femoral fractures: 1. Traction splints may not be as effective on proximal femur fractures. Conclusions based on only 5 cases. Remove the traction splint: this can often result in worsening injury. The CT-7 femoral traction splint has been simplified by removing straps, velcro and all loose ends. It is of interest that only 13% of cases recorded in the database were treated with a traction splint and 70% with no splint at all, but in the questionnaire most rescuers reported always using a traction splint for suspected femur fractures. Midmed welcomes all people, irrespective of ethnicity, lifestyle choice, faith, sexual orientation and gender identity. Copyright 2022 Midmed Medical Suppliers. Advise femoral traction splint or simple vacuum mattress/box splint. The broken femur bone is dangerously close to the femoral artery and can easily sever it. Definition of Traction in the Treatment of a Femur Fracture The main goal of a traction splint is to provide stability to a femur fracture. To investigate the attitudes of rescuers toward the use of femoral traction splints. This product is currently unavailable due to the overwhelming demand caused by the coronavirus (Covid-19) pandemic. Perhaps the rescuers believe they should be using the traction splint for every fracture, but in practice, despite believing them to be useful, considered it to be an unsuitable tool for the situation at that specific time. For femur fractures, using a splint that applies consistent traction has several benefits. Of 4513 paramedic calls over a year, 5 had suspected femur fracture. Can you use traction splint open femur fracture? Oxford Handbook of Expedition and Wilderness Medicine. Use to remove results with certain terms All rights reserved. Little detail on femoral fractures. Forty-four percent of rescuers also reported not having encountered a fractured femur in the past 5 years, so thinking back longer than that to recall what was actually done is difficult and likely to be unreliable. All rights reserved. Responses came from all regions of the United Kingdom covered by the MREW teams. Lie the patient supine with the injured lower extremity supported. Traction splinting is a useful tool for femur fracture alignment, increasing arterial blood flow, decreasing pain, and reducing the risk of further injury from fractured bone fragments. MB), Help with Acad Emerg Med. The CT-7 femoral traction splint has been simplified by removing straps, velcro and all loose ends. After 4 to 6 weeks the knee piece is applied and knee mobilization commenced. Copyright 2022 SPI Health and Safety. Intramedullary nailing of the femur: current concepts concerning reaming. Femoral traction splints are used to temporarily stabilize and possibly reduce femoral shaft fractures. There are multiple devices which may be used in immobilizing the femur. We advocate the use of a femoral traction splints but recognize that other splints may also be appropriate in this environment. Most importantly, the Hare traction splint was more compact, easy, and effective for a femur fracture. Buck's traction is a type of skin traction that is widely used for femoral, hip, and acetabular fractures, which are fractures in the socket portion of the "ball . 38% of patients with traction splints fitted had contraindications. Practical Prehospital Care: The Principles and Practice of Immediate Care. Already have an account with us? docx files, Download .doc (.06 2014;21(suppl 1):S75S76. February 14, 2014. Steps 1 Check the ABC's: Airway, breathing and circulation. Mountain Rescue England and Wales (MREW) maintains a database of all calls undertaken by mountain rescue teams within England and Wales. The Thomas splinta necessary tool in the management of battlefield injuries. Accessed October 2014. doc files. View our range of top-quality products at discounted prices. It is skewed among teams, however, with some teamsthose in North Wales, the Lake District, and Yorkshire in particularseeing femur fractures more frequently than the others. This correlates with the questionnaire, in which 44% of team members had not encountered any femur fractures in the past 5 years. Traction splints provide a counter-pull to reduce the size of the thigh and realign the fractured femur. Copyright 2022 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. Do a fascia iliaca or femoral nerve block: this is a safe and effective way . They require training and may not fit into the package of stretcher, casualty bag, and vacuum mattress. This is the reason why it is vitally important to make a traction splint for a fractured femur as quickly as possible. The result from the survey assessing attitudes toward traction splints is the summary of the opinions of only 164 mountain rescue individuals. However, the database is a record of events whereas the questionnaire responses are estimates and perceived ideas. Traction Splints - Applying the KTD Traction Splint. There are several different types of commercially made traction splints available. It is a common standard of care practice to immobilize open and closed fractures of the femur based on current PHTLS and ITLS guidelines. Skin traction is less invasive than skeletal traction and uses splints, bandages, and adhesive tapes positioned on the limb near the fracture and is applied directly to the skin. At the present time there are no studies on which to base practice. Its compact design allows for efficient use of limited storage space. This helps reduce bleeding. Diseases of the Hip, Knee and Ankle Joints With Their Deformities: Treated by a New and Efficient Method. or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. The following video has been prepared by the ECI and demonstrates the correct use of the Donway Femur Traction Splint. Relevant articles were critically reviewed to identify the evidence base for the use of femoral traction splints. Femoral traction splints are designed to apply traction to the lower portion of the leg, distal to the fracture, usually by pulling the ankle away from a stabilized pelvis. Radiolucent design enables X-Rays and Catscans to be taken without . A summary of the 5 articles in the literature reviewing traction splint use, https://doi.org/10.1016/j.wem.2015.01.006, Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? The estimated incidence of femur fractures within mountain rescue is based on clinical suspicion of a fracture. . If the patient is to be transferred to another hospital, the leg should be immobilised in a Thomas type splint (if available) or a backslab. Ensure that the stretcher or table is long enough to support the distal end of the device (eg, 20 cm [8 inches] beyond the ipsilateral foot). It has been tested under the harshest conditions around the world by an array of first responders and medics. In the end, I'm not saying that traction splinting isn't without benefits. Emergency traction splints are used to reduce and immobilize long bone fractures of the femur. There are 2 types of Thomas splint frame. This could easily cause the victim to bleed to death. Prehospital midthigh trauma and traction splint use: a retrospective review of a trauma registry (SAEM Abstract). The Thomas splint supports the leg and balanced traction is applied. However, rescuers have a positive attitude toward traction splints and perceive few disadvantages to their use. Use about 10% of the patient's body weight or up to about 7 kg (15 pounds). 1914; Dec 19:1086-1087. The Hare traction splint applies a distraction force through an ankle stirrup and can provide effective immobilization for femoral shaft fractures (Fig. To review the literature for evidence on the use of traction splints in prehospital medicine and test the hypothesis that femoral traction splints reduce morbidity and mortality in patients with a fractured femur. The femoral shaft excludes commonly fractured parts of the femur such as hip and supracondylar fractures. Simpler methods of immobilization may prove safer and equally efficacious. Types: Emergency, Military, Pre-Hospital, Prison, Be the first to know about new products and promotions, Office hours: Mon to Fri 8.00am 4.30pm, Unit 4/62 Borthwick Avenue, Murarrie, QLD, 4172 application of traction splints for femur fractures (open or closed) is likely not to impact patient outcome. That Is the Question. Estimates on femur fracture encounters and on use of traction splints. ABSTRAL, Actiq, Duragesic, Fentora, IONSYS, Lazanda, Onsolis, Sublimaze, SUBSYS, ARYMO ER, Astramorph PF, Avinza, DepoDur, Duramorph PF, Infumorph, Kadian, MITIGO, MORPHABOND, MS Contin, MSIR, Opium Tincture, Oramorph SR, RMS, Roxanol, Roxanol-T. The rescuers, of course, should not. The femoral nerve The heads of the quadriceps muscle To prevent fragments of bone from damaging these structures, and to prevent the bone from moving out of place, a splint is applied to the femur. These were looked at to assess whether they helped disprove the hypothesis that traction splints reduce morbidity and mortality of femur fractures. Flusso, Swing Valve Technology and PEEP Stabilization are trademarks used under license by McArthur Medical Sales Inc. US and International Patents Pending, Fast & easy to apply to upper and lower extremities, Compact design allows for efficient use of limited storage space, Adjustable for straight leg with a knee injury or lower leg injury, including foot and ankle. Sign in to see your prices and availability that match your account. Limited available literature. Femur fracture; External Links We present a case of skin complication following traction splint for spiral fracture of femur. Fixed ring: the shorter side goes medially; Split ring: the shorter side goes medially, and the buckle should be over the outer thigh . In my mind, this is a bit too simplistic. Femoral traction splints are used to stabilize femur fractures prior to definitive care (eg, operative fixation). Understand the process for application of a femoral traction splint. Midmed Pty Ltd - Medical Equipment & Consumables, Acme screw traction technology super precise, strong and accurate. You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password. This study has relevance to all those in prehospital care and in particular to those who practice wilderness medicine. There is brevity of evidence-based research on their efficacy. It contains details on the incident, the casualtys injures, and treatment. If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. Pre-hospital providers often use commercial traction splints which have a rigid element with straps to attach to the patient and then apply traction using cords and tension devices. Available at: http://www.cebm.net/category/ebm-resources/tools/. During the 10-year study period, 93 casualties with a suspected femur fracture were identified (9.3 per year). Oxford Centre for Evidence-Based Medicine. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. The most recent article published is an abstract and poster from a conference. use of a fracture table increases risk of internal rotation deformities when compared to manual traction. We apologize for any inconvenience caused. Of these, 4 were excluded: 2 because they discussed traction splint use as a definitive treatment before the introduction of femoral nailing or in children, and a further 2 because they were designated as level 5 quality according to the evidence-based medicine tool, lacking detailed information on where the opinions and stated facts within the articles had originated. The incidence of these fractures in mountain rescue in England and Wales has not been previously reported. Fax: 519-622-1142, document.write(new Date().getFullYear()); | McArthur Medical Sales Inc. We failed to identify evidence that supports the hypothesis that traction splints reduce morbidity or mortality. A generalized look at splinting. Results: The use of the traction splint for a femur fracture in the pre-intervention stage was found to be underutilised (Median 16%). For more information, please contact our customer service via chat or by phone at 1-866-861-8111. Commercially available femoral traction splint kit (eg, Hare, Sager, Ferno-tracTM, KendrickTM), Drugs for analgesia/sedation (eg, fentanyl, morphine, propofol). Sager Traction Splints are indicated in 93% of all femoral fractures (treats mid-shaft and proximal third fractures).As such, they have a much broader range of application and use than other traction splints. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Severity and pattern of injury in survivors of alpine fall accidents. Traction splints are used infrequently; 13% of the suspected femur fractures were treated with traction. Check out our substitute products! In this survey 44% of team members reported that they had not encountered a femur fracture or used a traction splint in the past 5 years. Femur fracture immobilization with traction splints in multisystem trauma patients. Toll Free: 1-800-996-6674 M.K. Assess distal pulses both before and after splint application. The light, compact splint is designed to apply femoral traction to relieve pain and reduce hemorrhage and the possibility of further neurovascular injury. Femur Fracture Splinting Femur fractures can result in the loss of 3 units of blood in the soft tissues. The Thomas splint causing urethral injury. An improvement was also noted in staff perception and understanding of the management of femur fractures. Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. The use of the device minimizes pain, pulmonary complications, blood transfusions and neurovascular complications to the limb [ 1 ]. Whole leg, air splint, vacuum splint, cardboard or a suitable commercially available splint. When asked about use, 68% of rescue team members who responded reported using a traction splint for every suspected femur fracture, 32% said they used a traction splint selectively and decisions were based on the type of fracture, the other associated injuries, availability of splints, and other forms of analgesia. An example is Buck traction, which is sometimes recommended for patients with hip injuries. The CT-6 is a Leg Traction Splint designed for Pre Hospital Care and Patient transport, specifically in combat scenarios. In the challenging environment of mountain rescue, traction splints can be difficult to use. treatment of a femoral fracture; overbody or lateral skeletal traction. Little evidence for use of femoral traction splints. Traction splints may also reduce and/or decrease pain and bleeding due to femur fractures, particularly those that are shortened. Mountain rescue teams have infrequent opportunities to use a femoral traction splint. Your Price: Log in List Price: $173.99 EA Log in for availability View Product Details More info Compare Item #: SI006P Replacement Traction Ankle Strap, Pediatric By: DICK MEDICAL SUPPLY Ensure adequate traction by frequently assessing pain relief and length of extremity compared to uninjured side. DOI: 10.1016/j.wem.2015.01.006 Corpus ID: 34716314; Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? The unit features three telescoping aluminum poles with two cam locks, a neoprene ankle hitch, an adjustable . . Rescue Essentials offers the STS Slishman Traction Splint, a fully adjustable traction splint for patients with suspected femoral fractures. Want to receive your item sooner? To obtain the exact incidence within mountain rescue, the mountain rescue database would need to include the definitive diagnosis made after hospital assessment and radiological investigation. *Some items in this product are in promotion. 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