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Splinting in the Emergency Room

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Presentation on theme: "Splinting in the Emergency Room"— Presentation transcript:

1 Splinting in the Emergency Room
Tammy Whitehead RN, BSN

2 Why Do We Splint? To stabilize the extremity To decrease pain
Actually treat the injury

3 Complications of Splinting
Abrasions Sores Neurovascular compromise (tight fitting splints) Contact dermatitis Pressure ulcers Thermal burns

4 How to prevent complications
Apply splint by trained professional Us! What we do! Apply splint correctly Collaboration with the Docs! Monitor neurovascular status.

5 The 6 P’s of extremity assessment
Pain: Palpate the entire extremity for increase pain Pallor: Note color and temperature and capillary refill Pulses: Palpate proximal and distal pulses Paresthesia: Assess for burning, tingling, numbness Paralysis: Assess motor function (both active and passive Pressure: Palpate for firmness of compartment

6 Equipment need for application
Cotton bandage( soft roll, cotton roll) Pad entire area to be splinted Plaster slabs or pre padded fiberglass (Orthoglass), immobilize above and below injury Room temperature water (apply generously) Elastic bandage Adhesive tape or fastners

7 Types of Splints Yes,its broken and needs a splint!
Why sure Doctor, not a problem!

8 Volar Splint The Volar short arm splint is used for:
Fractures of the wrist Fractures of the second to fifth metacarpals, Carpal tunnel syndrome Soft tissue injuries

9 Finger Splint Finger Splints are used for phalangeal fractures
(A&B) commercial splints © is custom splint

10 Gutter Splint Two types: radial and ulnar Gutter splints are used for:
Phalangeal fractures Metacarpal fractures

11 Figure Eight Splint Used to stabilize a clavicle fracture
To be applied properly the patient must be erect with hands on his iliac crest with shoulders in abduction (as seen in picture)

12 Buddy taping of toes Secure the fractured toe to the adjacent toe with adhesive strips Sheet wadding between toes prevents maceration

13 Posterior Leg Splint This splint is used for: Distal leg fractures
Ankle fractures Tarsal fractures Metatarsal fractures

14 Stirrup Splint To prevent inversion or eversion of the ankle
Immobilizes the ankle for fractures near the ankle Apply from below the knee and wrap around the ankle

15 Thumb Spica Splint This splint is used for : Scaphoid fractures
Extraarticular fractures of the thumb Ulnar collateral ligament injuries

16 What do you do after you have applied your splint???
1.Have MD/PA evaluate splint 2.Document what you have done!!!

17 Documentation Which Splint you applied
Which extremity you applied the splint to 6 P’s Time you applied the splint Condition of any wound How the patient tolerated the procedure Which MD/PA evaluated splint and time

18 Application of Splints
Follow up on the floor and perform the following splints under the observation of your preceptor Gutter splint Volar splint Thumb Spica Posterior leg splint Stirrup leg splint Clavicle Brace

19 To Receive Credit for having completed this Review of Splinting :
Certificate of Completion of On-line Module – Splinting in the ED Complete the Certificate with your name and date of completion Print and sent to Tammy Whitehead for records.

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