PHED 120 Krzyzanowicz- Fall ‘12

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Presentation transcript:

PHED 120 Krzyzanowicz- Fall ‘12 Splinting Techniques PHED 120 Krzyzanowicz- Fall ‘12

Objectives Demonstrate ability to splint upper and lower extremity orthopedic injuries using Vacuum splints SAM splints Triangle bandages Demonstrate ability to properly apply a sling to an injured shoulder/arm

Types of Fractures Closed= skin not disrupted at fracture site Activate EMS when appropriate Open= skin is disrupted at fracture site Greater possibility of infection due to open skin These are a medical emergency Activate EMS Also called compound fractures

Closed Fracture

Open Fracture

Assessing Fractures Closed fractures Activate EMS when appropriate Remove clothing and protective equipment from site of injury Carefully inspect area bilaterally Palpate area for pain and crepitus Evaluate neurovascular function distal to injury Evaluate for shock

Neurovascular Status Bilateral sensation testing of skin distal to fracture site “Does this feel the same on both sides?” Bilateral comparison of pulse distal to fracture site Capillary bed refill test

Assessing Fractures Open Fractures Medical emergency, activate EMS Thoroughly irrigate soft tissue wounds and exposed bone with sterile saline NOT worried that we do this, hospital will do this! Cover wound with sterile dressing With significant bleeding, apply careful and direct pressure to the dressing to limit blood loss Monitor for signs of shock

Open Fracture

Signs and Symptoms of Shock Increased heart rate Pale, cool, clammy skin Nausea or vomiting Thirst Heavy breathing Decreased blood pressure

Care for Shock Activate EAP Maintain airway Control any bleeding Maintain body temperature IF no suspected fracture or spinal cord injury Elevate legs about 12 inches Continue to monitor vitals

Fracture vs. Dislocation Bone breaks Must be casted, and/or surgically repaired Dislocation Joint comes out of position and stays out (must be put in by trained medical professional) Next slide Subluxation Joint comes out of position and comes back in on it’s own!

Finger Dislocation

Proper Splinting Always splint above and below the joint that is injured Forearm fracture=wrist and elbow Ankle dislocation=foot and tibia Always check pulse/capillary bed refill after positioning the splint

Arm Fractures http://www.youtube.com/watch?v=3D6uRDe Ey0I

Arm Fracture http://www.youtube.com/watch?v=2xMM01 mz4X0&feature=related

Arm Fracture http://www.youtube.com/watch?v=D2iboRfW oD0&feature=fvst

Leg Fracture http://www.youtube.com/watch?v=lWb508Q oOCk&feature=related

Tib/Fib fx http://www.youtube.com/watch?v=Z7acc6qw cmQ

Tib/Fib Fx http://www.youtube.com/watch?v=uGJFOOnc RMs&feature=related

Femur Fx http://www.youtube.com/watch?v=DS8AdZNl KoI&feature=related

Ankle Dislocation http://www.youtube.com/watch?v=qVfFypK7 uZw&feature=related

Recent Ankle Dislocation http://www.nfl.com/news/story/09000d5d8 22d0a77/article/colts-dt-foster-carted-off- field-after-leg- injury?module=HP11_headline_stack