1. Deal with ABCDEs / life
2. Remove clothing, expose pt including extremities. Remove
jewellery, watches. Prevent hypothermia.
3. Assess neurovascular status: pulses, haemorrhage, motor / sensory
4. Cover open wounds with sterile dressings.
5. Select splint: should immobilise # at jt above and below.
6. Pad any bony prominences that will be covered up.
7. Splint extremity in position in which distal pulses are
present. If distal pulses absent, attempt to realign extremity
once. Apply gentle traction until splinting secured.
8. The extremity is splinted if normally aligned. If malaligned, realign then splint. If not
easily realigned, spint in position in which it is found.
9. Obtain orthopaedic consult.
10. Document neurovascular status before and after every maninpulation
or splint application.
11. Administer tetanus prophylaxis.
1. Need 2 people: one for extremity, one for splint.
2. Conduct up to 4 above.
3. Clean exposed bone / muscle of dirt and debris and document.
4. Determine length of splint by measuring uninjured leg. Place
upper cusioned ring under buttock and adjacent to ischial
tuberosity. Place distal end beyond ankle by 15cm. Stap to
support thigh and calf.
5. Align femur by manually applying traction through the
ankle. Then gently elevate the leg to allow assistant to slide
splint under extremity so that padded portion rests against ischial
tuberosity. Reassuess nv status.
6. Position ankle htch around ankle & foot while assistant
maintains manual leg traction. Bottom strap should be slightly
shorter than / same length as upper 2 crossing straps.
7. Attach ankle hitch to traction hook while assistant maintains
manual traction and support. Apply traction in increments using
the windlass knob until extremity appears stable, or pain and spasm
8. Reassess nv status. Release traction if nv status
9. Secure remaining straps. Tetanus.