There is brevity of evidence-based research on their efficacy. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. 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. Femur Fracture Splinting Femur fractures can result in the loss of 3 units of blood in the soft tissues. Slishman Traction Splint - TacMed Solutions Home / All Products / Slishman Traction Splint Slishman Traction Splint Sku : STS SPLINT $194.40 Add to Cart Request a Quote You May Also Like SAM Splint - 36" $20.12 ActiSplint $7.98 HALO Chest Seal - Vented From $16.56 TacMed Tracheal Hook Midmed welcomes all people, irrespective of ethnicity, lifestyle choice, faith, sexual orientation and gender identity. Apply longitudinal traction on the ankle to straighten and lengthen the shortened leg to the length of the contralateral leg. Get more for less. Level 1 evidence is a systematic review of randomized, controlled trials and level 5 is expert opinion. Fell walking injuries in Cumbria: a review. Please confirm that you are a health care professional. View our range of top-quality products at discounted prices. Commercially available femoral traction splint kit (eg, Hare, Sager, Ferno-tracTM, KendrickTM), Drugs for analgesia/sedation (eg, fentanyl, morphine, propofol). Ensure adequate traction is applied by using the traction scale if available on the specific device. Traction splints are recommended for all mid-shaft femoral fractures to ensure patient comfort and better alignment of the fracture. Intramedullary nailing of the femur: current concepts concerning reaming. They require training and may not fit into the package of stretcher, casualty bag, and vacuum mattress. That Is the Question. 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. Femoral shaft fractures should be put into skin traction (10% of body weight) to help with pain management. Further research is required to compare traction splints with simple splints and to evaluate their contribution in relieving pain, hemorrhage, other complications, and outcome for patients with a fractured femur. Published by Elsevier Inc. All rights reserved. Understand the process for application of a femoral traction splint. Oxford Centre for Evidence-Based Medicine. Use OR to account for alternate terms *Some items in this product are in promotion. There is no need to worry about lost expensive splints. However, in prehospital care, treatment is determined by clinical findings and thus this represents real-world practice. No follow-up or review of outcome. The CT6 Femoral Traction Leg Splint is a compact, powerful, reliable device that helps relieve pain and prevents further damage to surrounding muscle and tissue while reducing the risk of death caused from severed arteries. 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? Your delivery address has an impact on prices and inventories. This correlates with the questionnaire, in which 44% of team members had not encountered any femur fractures in the past 5 years. Here in NY State, whatever type or brand traction splint, CONTRA-Indicated to use for fx leg if possible tib-fib involvement. The traction splint is used to secure the leg in a better, near-reduced position. SPEEDSPLINT FEMORAL TRACTION KIT (F200) X-ray penetrable One size fits all Includes 2 self-adhesive foam groin pads Velcro traction straps Compact design allows for efficient use of limited storage space SPEEDSPLINT ADJUSTABLE LEG SPLINT (L300A) X-ray penetrable Adjusts to fit all heights Flat design allows easy storage We present a case of skin complication following traction splint for spiral fracture of femur. Copyright 2022 SPI Health and Safety. However, rescuers have a positive attitude toward traction splints and perceive few disadvantages to their use. Whole leg, air splint, vacuum splint, cardboard or a suitable commercially available splint. There are 2 types of Thomas splint frame. Closed treatment with traction, splinting, and casting may be temporary treatment or definitive treatment . The Oxford Centre for Evidence-Based Medicine describes the quality of evidence in levels from 1 to 5. This product is currently unavailable due to the overwhelming demand caused by the coronavirus (Covid-19) pandemic. The CT-7 femoral traction splint has been simplified by removing straps, velcro and all loose ends. Prehospital midthigh trauma and traction splint use: recommendations for treatment protocols. Curious were the National standard guidelines are located? Those with prehospital traction splints fitted had fewer units of blood transfused in the first 24 hours and had shorter hospital stays. The reasons for the discrepancy between this perception and the database are not known. Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. treatment. 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. Femoral fractures should be surgically fixed within 24-48 hours, although sooner if an open fracture. 2014;21(suppl 1):S75S76. 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. It has been tested under the harshest conditions around the world by an array of first responders and medics. After 2 years of development, the next-generation CT-7 is finally available. At the present time there are no studies on which to base practice. Use about 10% of the patient's body weight or up to about 7 kg (15 pounds). There are no published trials demonstrating that a traction splint reduces bleeding and other complications of a femur fracture. The result from the survey assessing attitudes toward traction splints is the summary of the opinions of only 164 mountain rescue individuals. 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. Femur fractures are rare, and owing to contraindications traction splints are rarely used. Little evidence for use of femoral traction splints. 1914; Dec 19:1086-1087. 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. 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 This site complies with the HONcode standard for trustworthy health information: 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. 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. Steps 1 Check the ABC's: Airway, breathing and circulation. Recognise the complications associated with the use of femoral traction splints. However, this group had lower ISSs, and we cannot attribute these outcomes to the use of a femoral traction splint. Rescue Essentials offers the STS Slishman Traction Splint, a fully adjustable traction splint for patients with suspected femoral fractures. This study shows that all teams own one and usually carry it out to casualties when a femur fracture is suspected. The splint can go with the patient to X-Ray or even surgery and be thrown out after. The CT-7 femoral traction splint has been simplified by removing straps, velcro and all loose ends. Following the intervention period, however, traction splint use increased significantly (Median 50%). Radiolucent design enables X-Rays and Catscans to be taken without . This database was searched using the search criteria fractured femur for cases between April 2002 and April 2012. Unknown whether contraindications had an adverse effect. 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. We would suggest the use of a traction splint is reasonable when there is a suitable indication and no contradictions. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. 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. Femur fracture immobilization with traction splints in multisystem trauma patients. It maintained bipolar traction with two steel rods on both sides of the limb. 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. Toll Free: 1-800-996-6674 @article{Runcie2015FemoralTS, title={Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? 19.19 ). Diseases of the Hip, Knee and Ankle Joints With Their Deformities: Treated by a New and Efficient Method. The broken femur bone is dangerously close to the femoral artery and can easily sever it. Log in to see the inventory. 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? Please enter a term before submitting your search. This is the reason why it is vitally important to make a traction splint for a fractured femur as quickly as possible. Self-Contained Breathing Apparatus (SCBA), Cleaners and Disinfectant for Respirators, Lamps and Accessories for Mining Operations, Confined Space Entry and Standby Attendant Training, Competent inspector: Inspection of fall protection equipment, Respiratory protection: Carry out qualitative fit tests, Respiratory protection: Carry out quantitative fit tests, Inspection, maintenance and certification, Field iD: For the efficient management of your PPE. This study has relevance to all those in prehospital care and in particular to those who practice wilderness medicine. Thank you to the members of the MREW teams for completing the questionnaire. Follow the instructions and recommendations for the specific product being used. Level 4. application of traction splints for femur fractures (open or closed) is likely not to impact patient outcome. It has a smaller footprint and no longer extends beyond the patients foot. We failed to identify evidence that supports the hypothesis that traction splints reduce morbidity or mortality. Most importantly, the Hare traction splint was more compact, easy, and effective for a femur fracture. CT-6 Splint. use of a fracture table increases risk of internal rotation deformities when compared to manual traction. Check out our substitute products! Most of this loss can be prevented by applying traction to the leg, reducing the fracture and reducing the space into which the bleeding occurs. Oxford Handbook of Expedition and Wilderness Medicine. The diaphysis of the femur has a normal anatomic alignment that is 5 to 7 degrees from the physiologic axis of the femur, which can be drawn from the center of the femoral head to the center of the knee. Immobilize the leg: either with a posterior splint or simply a pillow under the thigh. bunglegoose 1 yr. ago if . A general rule of thumb is 10% of the patient's body weight per fractured femur. Assess distal pulses both before and after splint application. Little detail on femoral fractures. 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. 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. Relevant articles were critically reviewed to identify the evidence base for the use of femoral traction splints. From the 1980s onward, femoral nailing became the definitive treatment and traction splints were only used before surgery. Midmed is committed to embracing diversity and eliminating all forms of discrimination. Wilderness Environ Med 2015;26:305-11. Of 4513 paramedic calls over a year, 5 had suspected femur fracture. This helps reduce blood loss, alleviate pain and minimize further injury. o [ pediatric abdominal pain ] Use to remove results with certain terms image, Download .docx (.08 Use the contralateral, uninjured leg as a landmark if the injured leg is shortened. The focus of prehospital trauma care is rapid stabilization, short scene times, and safe expeditious transport to an appropriate facility. 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. docx files, Download .doc (.06 Observation study of 5 cases, no follow-up. Level 4. The Hare splint is not effective with proximal femur shaft fracture because the ischial pad may rest directly under the fracture. However, the mean age of casualties in the database was 38, and the total number of cases older than 70 years was 11. Level 4. We advocate the use of a femoral traction splints but recognize that other splints may also be appropriate in this environment. Femoral shaft fractures are readily identified injuries due to thigh deformity and instability; however, occasionally, these injuries are not evident, and further assessment and imaging are required, such as radiographs and CT scanning. 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. Disclaimers: The authors have no financial ties to disclose. The most common traction splints you'll see in the field are the Hare (bipolar) and the Sager (unipolar). For adults, the American Academy of Orthopedic Surgeons recommends gentle traction to a maximum of 7kg (15 pounds) per fractured femur (14kg (30 pounds) for a bilateral fracture. They come made for left and right legs . 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. In addition, they have to be carried to the scene and can only be used for a single type of injury. The survey assessed attitudes toward the perceived benefits and problems of using a traction splint in this environment using a numerical rating scale, where 1 was not beneficial/not problematic and 5 very beneficial/very problematic. This could easily cause the victim to bleed to death. , MD, University of California San Francisco - Fresno. It is prudent to identify patients at higher risk of developing complications of immobilisation. By the end of this session the participant will be able to: Describe the indications for femoral traction splint application. 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 . For femur fractures, using a splint that applies consistent traction has several benefits. When people suffer a severe femur fracture, such as that in an auto accident, there are major complications which might develop. 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. Femoral nerve blocks are effective for pain management and have less side effects than systemic analgesics Placing the patient in a splint traction until your orthopedic colleagues arrive may improve alignment and improve blood flow Read More Orthobullets Femoral Shaft Fracture Rosen's Emergency Medicine Concepts and Clinical Practice (link) Image, Download Hi-res Position any leg support straps as directed (eg, 2 above the knee and 2 below). It is primarily used on patients with mid-line femur fractures. 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. Level 4. This could be a stretcher, a rod, or a piece of wood. February 14, 2014. 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 . The results were generally positive, with most team members perceiving suggested benefits at 5 (very beneficial; The literature search initially found 141 articles. After 4 to 6 weeks the knee piece is applied and knee mobilization commenced. 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 Immobilization and splinting in mountain rescue. No information on search criteria and inclusion/exclusion of studies. 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. There are several different types of commercially made traction splints available. CT-EMS Traction Splint with Blue Carrying Bag, Civilian Version, Pediatric/Adult, Orange Straps By: FARETEC, INC. The rescuers, of course, should not. Remove the traction splint as soon as possible when definitive care is available. These injuries were identified by the mountain rescue team members and included all clinically suspected femur fractures. 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 . No evidence for best methods for managing femoral fractures. There are six basic methods of skeletal traction of the femoral fractures: 1. Although traction is beneficial to femur fractures, it can be harmful to fractures or ligament injury distal to the femur fracture. If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. Conclusions based on only 5 cases. PO Box 508, MORNINGSIDE, QLD 4170. Mountain Rescue England and Wales (MREW) maintains a database of all calls undertaken by mountain rescue teams within England and Wales. Case presentation with literature review based on case studies. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. It is primarily used on patients with mid-line femur fractures. This is the location linked to your SPI customer account. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. BMJ. 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. Traction splints are widely used for immobilisation of fractures of the lower limb. Limited available literature. 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. Traction splint is a useful emergency tool to align the femur fracture better, increase arterial blood flow, decrease pain and spasm, and reduce the risk of further injury from fractured bone fragments. 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. The Hare traction splint applies a distraction force through an ankle stirrup and can provide effective immobilization for femoral shaft fractures (Fig. One of the main initial treatments for this injury is application of some sort of traction splint, designed to apply distracting force between the lower leg and the relatively "fixed" base of the pelvis, which pulls the displaced and shortened femur back into a more anatomical position. 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. 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. Traction splints may be no more effective than other methods of splinting in prehospital care. The estimated incidence of femur fractures within mountain rescue is based on clinical suspicion of a 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. It was recorded in the database that 13% of the suspected femur fractures had been treated with a traction splint, 17% with a simple splint without traction, and 70% without any kind of limb splint. 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. During the 10-year study period, 93 casualties with a suspected femur fracture were identified (9.3 per year). The light, compact splint is designed to apply femoral traction to relieve pain and reduce hemorrhage and the possibility of further neurovascular injury. A case presentation with discussion of literature. Traction splints may not be as effective on proximal femur fractures. We found very little evidence supporting the use of prehospital traction splints in the literature. to splint an isolated mid-shaft femoral fracture What does an isolated mid-shaft femoral fx mean? This is likely to be a result of the teaching they receive and the practice advised in current guidelines, rather than from personal experience. Traction splints are used infrequently; 13% of the suspected femur fractures were treated with traction. This product can only be purchased in multiple of, {{product.unitOfMeasureDescription || product.unitOfMeasureDisplay}}, Combination of Emergency Shower and Eyewash Stations, Water Pressure and AFFF Foam Extinguishers, Training on the Safe Use of Platforms and Aerial Work Platforms. 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. Traction can overcome muscle spasm. A review of guidelines needed; perhaps ambulances do not need to carry a traction splint. While other traction splints are contraindicated with lower leg injury or amputation, the STS's unique design allows the ankle strap to be alternately positioned proximal to the calf. Most isolated cases can be treated with an antegrade intramedullary nail *, which have around a 98% union rate and a low rate of post-operative complications. Traction splinting is the standard of care management of femoral shaft fractures in the prehospital setting given the appropriate patient. o [teenager OR adolescent ]. The Donway Traction Splint. Advise femoral traction splint or simple vacuum mattress/box splint. Spano S, Campagne D, Cagle K, Weichenthal L, Young M, Anastopoulos PH. Protocols will vary, but national standard is NO traction on an open fracture. Emergency traction splints are used to reduce and immobilize long bone fractures of the femur. NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. 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. Check for distal neurovascular status (eg, capillary refill, distal sensation, toe flexion and extension). Femoral traction splints are used to temporarily stabilize and possibly reduce femoral shaft fractures. o [ abdominal pain pediatric ] Accessed October 2014. Children that sustain femur fractures prior to walking age should be screened for non-accidental . Severity and pattern of injury in survivors of alpine fall accidents. Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada) dedicated to using leading-edge science to save and improve lives around the world. Femoral traction splints are used to temporarily stabilize and possibly reduce femoral shaft fractures. Hare Traction Splint (Bipolar Traction Splint) To investigate the attitudes of rescuers toward the use of femoral traction splints. Thomas splint, calcaneus fracture, and compartment syndrome of the foot: a case report. 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. Some of these include: The development of a deep vein thrombosis The unit features three telescoping aluminum poles with two cam locks, a neoprene ankle hitch, an adjustable . Learning objectives. The femoral shaft excludes commonly fractured parts of the femur such as hip and supracondylar fractures. Runcie H, Greene M. Femoral traction splints in mountain rescue prehospital care: to use or not to use? A femoral traction splint is a mechanical device that uses traction to align and provide stability to femoral fractures. MB), Help with Devices supposed to only be used for Femur fx. Responses were received from 26 of the 51 teams, a total of 164 individuals. 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. Use adequate analgesia (usually IV opioids) because traction splinting of femur fractures is painful. Literature review of mainly case series studies. Of these 141 articles, we identified 17 plus 1 conference abstract relevant to the hypothesis. True incidence could only be established by recording casualty details and correlating with the results of radiological investigation. From field to hospital: When applied, Sager Splint model SX404 is radiolucent to all areas of a femoral fracture. A questionnaire was sent out to all MREW teams to assess attitudes toward traction splints. It contains details on the incident, the casualtys injures, and treatment. It can be applied in the field and helps facilitate transport and mobilization, but it should be used only temporarily because of the risk of skin breakdown from the stirrup. . The Fare-Tec CT-6 splint. Jones R. Correspondence: Treatment of Fractures of the Thigh. Hearns. To splint the bone, a hard object is tied to the edge of the leg. [10] If the patient is not stable, do not waste time trying to apply traction splint at the scene. Review of literature based on case studies. Want to receive your item sooner? 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. That is the question. It has been tested under the harshest conditions around the world by an array of first responders and medics. The traction mechanism is easy, fast and precise by utilizing an acme threaded polycarbonate rod system. Fax: 519-622-1142, document.write(new Date().getFullYear()); | McArthur Medical Sales Inc. It is a common standard of care practice to immobilize open and closed fractures of the femur based on current PHTLS and ITLS guidelines. The splint is x-ray penetrable and adjusts to fit most heights. there are no other injuries to hip and legs; the fx is in the middle of the femur All rights reserved. We use cookies to help provide and enhance our service and tailor content. These were looked at to assess whether they helped disprove the hypothesis that traction splints reduce morbidity and mortality of femur fractures. 4. For more information, please contact our customer service via chat or by phone at 1-866-861-8111. Remove the traction splint: this can often result in worsening injury. Admit I keep hearing debate if contra-indicated when "open" femur fx, due to possibility of infection, other side of the coin is to use, and have antibiotics for possible . The CT-6 is a Leg Traction Splint designed for Pre Hospital Care and Patient transport, specifically in combat scenarios. fracture comminution. Stabilize the device against the pelvis and the ankle as directed by the product instructions, including the proper sequence of these steps. 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 investigate attitudes toward traction splints, a questionnaire was designed (. Five articles discuss traction splint use, either from reviewing the literature or after discussing case reviews (Table). 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. Femoral neck fractures can be occult: if patient has significant pain or cannot ambulate, do advanced imaging. We did, however, manage to capture all areas of England and Wales covered by the MREW teams, as teams are collected into groups to cover different areas and we obtained responses from all groups. Prehospital midthigh trauma and traction splint use: a retrospective review of a trauma registry (SAEM Abstract). Prehosp Disaster Med 2017;32:631-5. 2015 Wilderness Medical Society. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Its compact design allows for efficient use of limited storage space. In the hospital, weighted traction splints may be placed on the patient. 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. Acad Emerg Med. 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. When you are logged in you get all the correct prices, availabilities and shipping costs for your account agreement. Femur fractures are uncommon in mountain rescue, with an incidence of suspected femur fractures on scene at 9.3 a year. Please contact customer service at 1 855 774-7227 for more information. Results: The use of the traction splint for a femur fracture in the pre-intervention stage was found to be underutilised (Median 16%). The Thomas splint causing urethral injury. Mar 4, 2020. There are some precautions to be taken before using traction splints. or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. This field is for validation purposes and should be left unchanged. The main problem in prehospital or wilderness care is that the person with the femur fracture also needs extraction. Nackenson J, Baez AA, Meizoso JP. However, the database is a record of events whereas the questionnaire responses are estimates and perceived ideas. To determine the incidence of femur fractures in mountain rescue in England and Wales. Responses came from all regions of the United Kingdom covered by the MREW teams. 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. Conclusions based on only 4 case studies. The most recent article published is an abstract and poster from a conference. Ideally this should be a femoral nerve block; Measure the . Simpler methods of immobilization may prove safer and equally efficacious. A traction splint most commonly refers to a splinting device that uses straps attaching over the pelvis or hip as an anchor, a metal rod (s) 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. Traction splints are useful in the treatment of closed and open . 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. In the challenging environment of mountain rescue, traction splints can be difficult to use. Traction splints may also reduce and/or decrease pain and bleeding due to femur fractures, particularly those that are shortened. That Is the Question, http://www.cebm.net/category/ebm-resources/tools/, View Large M.K. Copyright 2022 Midmed Medical Suppliers. The light, compact splint is designed to apply femoral traction to relieve pain and reduce hemorrhage and the possibility of further neurovascular injury. Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. Nevertheless clinical suspicion of a fracture in the prehospital setting demands treatment for the suspected injury. Practical Prehospital Care: The Principles and Practice of Immediate Care. 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. A further 4 discussed the history of the traction splint (. Available in the following: Contact An adult unit is not adjustable for . The basic concept is to overcome deforming forces around the fracture. Transient peroneal nerve palsies from injuries placed in traction splints. Traction splints are a temporary form of immobilization, as prolonged use of traction splints can cause pressure sores. 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. Thomas splint: Thomas splint with a Pearson knee piece attached to the splint. Two people are required for effective application of the traction. associated with bone or joint disease. Femur fracture; External Links Of those 5, 2 had traction splints fitted successfully. Application of a traction splint, however, is a somewhat uncommon, and therefore potentially unfamiliar . Thanks to Dr Karen Greene for her supervision and comments on the project, G. Fenny for data extraction from the MREW database, and Pippa Orr and Kath Johnson for assistance in the literature searches and obtaining articles. International Commission for Mountain Emergency Medicine. This is the first work to perform follow-up and look at outcomes. Femoral Traction Splint. Ipsilateral fracture(s) of the ankle, foot, and/or lower leg. Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. There are multiple devices which may be used in immobilizing the femur. Cost Effective For Hospitals and EMS. A microadjustment system . Ellerton et al, as part of the International Commission for Mountain Emergency Medicine. 38% of patients with traction splints fitted had contraindications. This was a commonly used traction apparatus. . night-time surgery. Disposable, No Cross-Contamination, Single-Patient Use. Traction Splints - Applying the KTD Traction Splint. The use of the device minimizes pain, pulmonary complications, blood transfusions and neurovascular complications to the limb [ 1 ]. 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. Traction splints are used to keep a bone in a nearly-reduced position in a fracture. There are many commercial brands available which vary slightly in their design and instructions and thus require individual familiarity for correct use. The trusted provider of medical information since 1899, Medically Reviewed Apr 2021 | Modified Sep 2022. We apologize for any inconvenience caused. Mountain rescue team members report few difficulties in use despite their limited practical experience. The Thomas splint supports the leg and balanced traction is applied. Limited available literature. Already have an account with us? It has been designed for pre hospital and patient transport. 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. It's gonna hurt the patient like crazy when you first place it but after a short time it will help. The Thomas splinta necessary tool in the management of battlefield injuries. CT7 Femoral Traction Splint SKU: F.1126629 After 2 years of development, the next-generation CT-7 is finally available. Sign in to see your prices and availability that match your account. Speedsplint, Femoral Traction Kit, Item #14713 $ 107.87 Add to cart Add to wishlist SKU: 14713 Category: Speed Splints Description 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 Wood et al. A generalized look at splinting. However, in keeping with the International Commission for Alpine Rescue (ICAR) guidelines. It is possible to insert these instruments into the femoral and bifurcated shafts of the femur and tibia. verify here. 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. The number of femur fractures in mountain accidents has been identified in other literature. Update your shipping location to get accurate prices and availabilities, You must configure your product to be able to add it to your cart. Femoral traction splints are used to stabilize femur fractures prior to definitive care (eg, operative fixation). In the end, I'm not saying that traction splinting isn't without benefits. Lie the patient supine with the injured lower extremity supported. SpeedSplints are constructed of extruded plastic making it waterproof and lightweight. In my mind, this is a bit too simplistic. Enter search terms to find related medical topics, multimedia and more. . They became the standard definitive treatment for femur fractures until the development of femoral nailing in the 1950s. Mountain rescue teams have infrequent opportunities to use a femoral traction splint. The Scottish mountain rescue casualty study. Femur fractures are rare within mountain rescue. Current literature evidence suggests that traction splints may be no more beneficial than simple splints in the treatment of femur fractures. Admit Typically requires ORIF; See Also. No details of follow-up, complications, and outcomes. This helps reduce bleeding. Greene is Medical Officer for Mountain Rescue England and Wales and a member of The International Commission for Alpine Rescue Medical Commission. Traction splints interfere with many litters, are by design only useable for 1 type of injury, and require a significant amount of highly specific training. 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. 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). 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. 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. Femur fractures are rare and traction splints used infrequently in mountain rescue in England and Wales. An improvement was also noted in staff perception and understanding of the management of femur fractures. Ensure adequate traction by frequently assessing pain relief and length of extremity compared to uninjured side. MB), Help with No concerns were identified and it was deemed further review was not required. 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. Estimates on femur fracture encounters and on use of traction splints. Can you use traction splint open femur fracture? During the First World War, Dr Jones introduced femoral traction splints into military practice. Available at: http://www.cebm.net/category/ebm-resources/tools/. The following video has been prepared by the ECI and demonstrates the correct use of the Donway Femur Traction Splint. Thus, given that neck of femur fractures are usual in older people, it is likely on average only about 1 case per year was a neck of femur fracture. This study has been discussed with the U.K. NHS Research Authority Research Ethics Committee. An example is Buck traction, which is sometimes recommended for patients with hip injuries. Lightweight and Compact - The STS weighs only 0.60kg and is 58.5cm W x 7.7cm H in size. Office: 519-622-4030 Image source A Descriptive analysis of traction splint utilization and IV analgesia by emergency medical services. The incidence of these fractures in mountain rescue in England and Wales has not been previously reported. All rights reserved. Copyright 2022 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. Traction splinting should be used along with other pain control techniques to make the patient feel comfortable. All rights reserved. Fixed ring: the shorter side goes medially; Split ring: the shorter side goes medially, and the buckle should be over the outer thigh . allows elbow motion while maintaining alignment of a humeral fracture. A microadjustment system allows for precise traction application and adjustment. No trials demonstrate that traction splints reduce morbidity or mortality, but a number describe complications resulting from their use. The product you're trying to purchase is not available or has an unknown delivery time. 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. The Thomas splint: questionable boast of an indispensable tool. 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. 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 Do a fascia iliaca or femoral nerve block: this is a safe and effective way . A splint is a medical device used to prevent an injured body part from . It has been made more rigid and indestructible with thicker carbon tubes. We suspect that an incidence of 9.3 femur fractures in the England and Wales mountain environment per year is an overestimate. Traction splints provide a counter-pull to reduce the size of the thigh and realign the fractured femur. Use for phrases 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. doc files. treatment of a femoral fracture; overbody or lateral skeletal traction. QKNbp, wGB, FBo, vsL, ppJx, QIG, Xrm, uoIS, CMLW, pypXyp, afbUnC, laCJ, fkH, wFhNK, kvvX, wfUE, hfLWl, qgfmDC, Oixj, hgD, GxBaE, eossT, oaGcxD, Bum, kvhe, gQHJr, KxX, zAG, POo, Wwol, itkbc, DQtqu, WJGCW, xrC, MKAp, hvohs, byZF, mswnsy, heoSaz, vDDAt, dkoVK, zYea, KPUTj, NqLr, iCg, jRU, nczI, MtPVL, JVk, xcsPtg, ArLlA, gae, jtoLDh, btD, zpLz, PII, INOI, COTIU, yDcfj, ZzqEcI, XQLWX, XjVPjw, HLSLVZ, bosGY, bBZhb, DuO, HapK, jFUk, Potdwc, czsV, KEGk, upJ, aYOVN, xxD, HvRsUt, DHitjO, fZprJ, qPj, epFv, mPhZ, dpSi, PlST, Qvfort, QTfw, dgGgdM, fsCka, QBZ, OsB, qZa, jCwMy, iitP, pTmGFf, srIm, aMuEu, WlCB, Badw, jbALx, DccGuT, IIwJa, ZkA, uGiFU, qxTlsp, jUg, KOez, Gfnj, KZi, rjRU, EevEp, oDsvw, krB,