Traction Splinting

Objective: To demonstrate the ability to apply a traction splint.

Determines scene is safe  

Introduces self, obtains permission to help/treat.   

Initiates Standard Precautions   

Exposes and assesses the injury to determine the location and proximity to hip or knee joint; checks for bleeding and treats bleeding if present.  

Rescuer #1 manually stabilizes the fracture site above and below the injury.  

Rescuer #2 stabilizes the boot/shoe or the ski/snowboard if the equipment is still in place.  

Rescuer #3 assesses CMS.  

Rescuer #3 prepares traction splint and adjusts to proper size according to manufacturer’s instructions; rescuer uses uninjured leg to measure splint.  

Rescuer #2 removes ski or snowboard if present and then applies the ankle hitch.  

Rescuer #2 firmly grasps ankle hitch with one hand and places other hand under the calf and moves the injured leg in a coordinated fashion with Rescuer #1 to straighten leg into anatomical alignment using manual traction; maintains traction as Rescuer #1 releases manual stabilization.  

Rescuer #3 positions the splint according to manufacturer’s directions and secures the groin strap around upper thigh.  

Rescuer #3 connects ankle strap if needed and turns crank/knob, gradually replacing manual traction with mechanical traction.  

Rescuers secure Velcro support straps or cravats.  

Secures patient to a backboard.  

Reassesses    

Prepares patient for transport, activates EMS.  

Treats for shock/provides oxygen.