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PHED 120 Krzyzanowicz- Fall ‘12

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Presentation on theme: "PHED 120 Krzyzanowicz- Fall ‘12"— Presentation transcript:

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

2 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

3 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

4 Closed Fracture

5 Open Fracture

6 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

7 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

8 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

9 Open Fracture

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

11 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

12 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!

13 Finger Dislocation

14 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

15

16 Arm Fractures Ey0I

17 Arm Fracture mz4X0&feature=related

18 Arm Fracture oD0&feature=fvst

19 Leg Fracture oOCk&feature=related

20 Tib/Fib fx cmQ

21 Tib/Fib Fx RMs&feature=related

22 Femur Fx KoI&feature=related

23 Ankle Dislocation uZw&feature=related

24 Recent Ankle Dislocation
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