Check out this lesson for stepbystep instructions on how to a properly apply a traction splint. Traction application of a pulling force to an injured or diseased part of the body or an extremity while a countertraction pulls in the opposite direction. Splint coding medical billing and coding forum aapc. Simple, stepbystep instructions are sewn directly on the straps. Buy hare traction splint hare traction splint, adult model 75924 each on free shipping on qualified orders. Products emergency and rescue immobilisation traction splints traction splints. The ischial ring of the traction splint must be against the bony prominence of the buttocks ischial tuberosity. Proper use can decrease the pain and damage caused by the fracture. Chapter 30 musculoskeletal trauma and non traumatic trauma. This video discusses and demonstrates how to place a hare traction splint for reduction and stabilization of femur fractures.
The prometheus traction splint pts was created with valuable input from endusers and has built in features that are an advancement on the traction splints currently. Thomas splint traction hugh owen thomas introduced his splint which he called the knee appliance in 1875 the method of hugh owen thomas uses fixed traction with the counter traction being applied against the perineum by the ring of the splint this is in. Used for fracture of the upper bone of the leg the femur. For the sake of illustration, all other treatments have been omitted. 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. 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. 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. Displaying traction splints results 1 to 12 of 12 single pole traction device. Traction splints applying the ktd traction splint february 14, 2014 jeffery hill, md m. What dr sam scheinberg says about hare traction splint. Traction splinting new york state department of health.
Ed 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. There are several different types of commercially made traction splints available. This is in contrast to other methods using weight traction which is countered by the weight of the. What are the indications for the use of a traction splint. Our company does not manufacture, sell or have any financial relationship with any femoral traction splints. The fernotrac traction splint is available in adult and pediatric sizes, or as a kit, and includes carrying case. The information included below is designed to be used as a guide for an ischial type traction splint. Any material used to support a fracture is known as splint. 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. If the patient had lack of a distal pulse prior to hare traction splint. Dress any open wounds on the leg before applying the traction splint. Kennys adventure comes to life as a young boy, named kenny, sets out on an underwater journey to search for an old family relic. And if youve ever tried to load a patient with a hare traction splint into a bk 117 helicopter or a type.
To use or not to use article pdf available in journal of perioperative practice 199. Traction splints are used only on the lower extremity, usually for a fracture of the femur. The reductions were significantly more in the traction splint group at the 1st, 6thp 0. Questioning commended by sam scheinberg, md, the seaberg co. Just before placing the hare traction splint, your partner notes that the patient has no feeling in her toes and the dorsalis pulse has disappeared. They include the wlc, ct6, fastset3, el3000, pst and many more. Our traction splints meet the needs of ems specialists and patients worldwide. Protect your patient from further hemorrhage and additional nerve, vascular, bone, and muscle damage. Any break in a bone, no matter whether the skin has been broken, is a fracture. 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 the use of traction splints to. Ppt applying a sager traction splint 1 of 3 powerpoint.
Line2design traction splint childpediatric carrying case adjustable ankle straps product description. Original use of the traction splint, first popularized by dr. 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. Traction and saager splint contraindication education and. The patient is in extreme pain and screaming loudly. Therefore, i can only hope such a device traction splint is applied to me or my family members if we are ever so unfortunate to suffer such a terrible injury. Then the splint cpt code can be appended to that, with a 25 modifier appended to the em.
This scenario depicts the treatment of an isolated midshaft femur fracture. Place the splint parallel to the uninjured extremity, adjust length 68 inches beyond foot. May 02, 2016 questioning commended by sam scheinberg, md, the seaberg co. Applying a sager traction splint 1 of 3 expose the injured extremity and check pulse, motor, and sensory function. 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. 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. Get a printable copy pdf file of the complete article 276k, or click on a page image below to browse page by page. Sager traction splints are indicated in 93% of all femoral fractures treats midshaft and proximal third fractures. Temporary immobilization of sprains, fractures, and reduced dislocations control of pain prevention of further soft tissue or neurovascular injuries 4.
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. Hare traction splint, the original traction splinting device, realigns a fractured femur to its proper position. After retrieving the traction splint, we talked ourselves through the skills sheet for traction splint and, if i dont say so myself, applied it perfectly. In 1961, the american college of surgeons recommended that traction splints be included in every ambulance in the united states. Splint does many of the traditional lint checks including unused declarations, type inconsistencies, use before definition, unreachable code, ignored return values, execution paths with no return, likely infinite loops, and fall. Fernotrac traction splint emergency medical products.
Traction splint with all associated equipment ankle hitch, straps, etc. Tales of the traction splint confessions of an ems. Sager emergency fracture response system sefrs sager infant bilateral splint. Hares patent on the splint expired, the market was inundated with similar products, marketed as haretype traction splints, leupold said. Dec, 2010 here in ny state, whatever type or brand traction splint, contraindicated to use for fx leg if possible tibfib involvement. 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.
The method of hugh owen thomas uses fixed traction with the counter traction being applied against the perineum by the ring of the splint. Splint 1 is a tool for statically checking c programs for security vulnerabilities and programming mistakes. Handbook mivt report 062000 mivt report the paramedic is given 45 seconds before the patient is moved to give an. Pull out the inner shaft of the splint to apply traction. The prometheus traction splint is designed to be used on those patients with a suspected limb fracture. Nov 10, 2014 this video discusses and demonstrates how to place a hare traction splint for reduction and stabilization of femur fractures. Radiolucent design enables xrays and catscans to be taken. Using either the hare or sagar traction device, place the traction splint on the patient to immobilize the fractured femur.
Applying a sager traction splint 2 of 3 secure the ankle harness. Paramedic psychomotor competency portfolio manual traction. The most common traction splints youll see in the field are the hare bipolar and the sager unipolar. Traction splints applying the ktd traction splint taming. Traction splints used in the field include the hare traction splint. The dyna med hare traction splint has been setting the industry standard in treating fractured femurs for over 30 years. The history of traction splinting ski patrol buyers. 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. Sam slishman at the university of new mexico to overcome many of the the operational difficulties of older traction splint designs. Up to this point, i had always thought that what we were taught about traction splints was a. When applied, sager splint model sx404 is radiolucent to all areas of a femoral fracture.
When traction is applied to the leg, the counter traction is applied against the. I would like to commend bledsoe and barnes on their. Big thing to remember is that sager can be used for bilateral femurs and the hare isnt designed for it. 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. Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Requires two responders one to hold traction, one to apply. Sts directions for use 2014 study of 4 different traction splints a fascinating read on the history and current state of femoral traction splinting. Check your nsp catalog for the slishman traction splint listing. Snug the cable ring against the bottom of the foot. Wide elastic support straps maintain the injured leg within the frame of the splint, helping to provide inline mechanical traction.
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. Splint does many of the traditional lint checks including unused declarations, type inconsistencies, use before definition, unreachable code, ignored return values, execution paths with no return, likely infinite loops. Prometheus traction splint specialist emergency medical. Hugh owen thomas introduced his splint which he called the knee appliance in 1875. Admit i keep hearing debate if contraindicated when open femur fx, due to possibility of infection, other side of the coin is to use, and have antibiotics for possible. Learn vocabulary, terms, and more with flashcards, games, and other study tools. A traction splint is a special type of leg brace used for fractures of the long bone in the thigh. And if youve ever tried to load a patient with a hare traction splint into a. It was stolen long time ago by pirates and now its peaces rest in different parts of the world. 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.
This helps reduce blood loss, alleviate pain and minimize further injury. Full text full text is available as a scanned copy of the original print version. Traction splints provide a counterpull to reduce the size of the thigh and realign the fractured femur. As such, they have a much broader range of application and use than other traction splints. Hare traction splint hare traction splint, adult model 75924 product details.