The present invention provides a splint that may be telescopically extendable, coarsely and finely adjustable, and providing a mechanical advantage while being readily transportable. One in five (20%) had treated a femoral fracture in some setting. Little standardization of equipment and training exists for traction splinting in the U.S. Armed Forces. Physicians at the special femur fracture hospital in Bastogne noted a drop in mortality from 13% in 1916 to 7% in 1918.16 While it is certain that the Thomas splint played a large role in saving lives, it must be noted the introduction of motorized ambulances, casualty clearing stations, and other concurrent advances cloud the effect. Fifty-three participants completed two surveys and a single timed trial with each traction splint. It can be used on patients with lower leg amputations and can be applied bilaterally. Which traction splint do you believe most effectively treats a suspected femoral fracture if properly applied? The carrying case dimensions are 56cm x 7.6cm x 7.6cm. Before the modern reintroduction of tourniquets, traction splinting held the honor of being the only prehospital intervention shown to improve survival for limb-injured combat casualties. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. the KTD as part of the Expeditionary Medical Support (EMEDS) system. The participants were given the quick-reference instructions included with each splint if needed during testing. Subjective overall confidence was low, with many participants reporting little or no experience with traction splinting in training, and only one in six (16.7%) had used a traction splint on a patient. In general, it is recommended today to also irrigate the wound of an open fracture and to give prehospital antibiotics. Femur traction is applied through the extension of the pole segments creating a pushing force on the ankle strap instead of pulling distally from the foot. It takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Any material used to support a fracture is known as splint. Due to these pressures asserting lack of recent evidence, the latest Equipment for Ground Ambulances policy statement by the American College of Surgeons Committee on Trauma and others lists femoral traction splints as merely optional for civilian EMS. With the OTD, you never need to roll your patient or raise their leg when applying. The STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the operational difficulties of older traction splint designs. Make the Slishman Pressure Wrap part of your EDC. The Slishman Traction Splint (STS) overcomes both of these objections. Have you encountered a patient with suspected femoral fracture in another setting? The Thomas splint. Further study of all aspects of battlefield femoral traction splinting is warranted with greater attention paid to this skill in initial and sustainment training. MSRP $180. On the post-testing survey, the STS was the highest rated splint across all four reported categories. Insist on the optimum traction device.EP-800, The Curaplex Traction Splint effectively realigns a fractured femur to proper position, reducing pain, restoring profusion and inhibiting vascular, nerve, bone and muscle damage. Which traction splint are you the most confident in your ability to properly apply? What makes an effective presentation + effective presentation strategies Aug. 12, 2022. Equipment for ground ambulances. The primary field treatment at the time was the Liston splint, a wooden board device in use with the British for almost a century by that time. 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. With failing times removed, the average student still applied the STS the fastest (225.3 seconds), followed by the KTD (258.7 seconds), then the CT-6 (301.3 seconds) and finally the RS (351.9 seconds). The new STS-C is a more advanced version of the Slishman Traction Splint. Made in USA. No long transport delays. Emergency Products + Research continues to raise the bar when it comes to product lines for emergency personnel, and we have delivered in all areas with the ITD. Nellcor Adult/Pediatric Colorimetric CO2 Detector, Posey Cufflator Endotracheal Tube Inflator and Manometer. The Thomas splint was invented by Welsh physician and bone-setter Hugh Owen Thomas in 1875 for the treatment of tuberculosis of the knee. One size fits all. No attempts were made to influence these responses and all instructors were blinded to any responses until after conclusion of the course and analyses. Describe a product, share announcements, or welcome customers to your store. This splint features a telescoping design along with directions printed on the nylon leg straps to ensure quick application. 4. 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. Rapid Patient Application in Under 60 Seconds, 3. Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market. The STS is Not Contraindicated in Lower Leg Injury or Amputation - While other traction splints are contraindicated with lower leg injury or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. In a low-volume urban EMS system in Illinois, only five of 4513 (0.11%) patients seen in 1 year presented with injuries suspicious to field personnel for femoral fracture. Another review of 3141 patients indicates a 14% mortality following the intervention of the Thomas splint. Traction splint. Customer Terms & ConditionsPrivacyTerms of UseCode of ConductSupplier Code of ConductSupplier Terms and ConditionsReturn Policy Thomas nephew and former apprentice, Sir Robert Jones, became consultant orthopedic surgeon to the British Army in 1914. Junctional and pelvic hemorrhage has received much attention as of late due to their association with battlefield death. 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. Which traction splint do you believe is overall most appropriate for battlefield use? 4. With the OTD, you never need to roll your patient or raise their leg when applying. NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. The research team for this project would like to acknowledge Simulaids for the loaned use of the Traction Splint Trainer manikin. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. Ideally suited for search and rescue, special operations, military medics, wildland firefighters, backcountry skiers, or anyone trying to minimize pack weight and cube space. This retractable, space-saving splint features a hex lock mechanism to adjust for length quickly and easily. Sager Traction Splints are indicated in 93% of all femoral fractures (treats mid-shaft and proximal third fractures). Henry BJ, Vrahas MS. He soon advocated the splints use for fractures of middle and lower thirds of the femur, knee, and upper tibia. * Improved Traction Anchor * The I.T.D. * Rugged design and construction make this splint an ideal choice for tough field application under all conditions * Carbon fiber technology produces a strong and light splint that will not stick to gloved hands in cold weather * Modern construction techniques produce a splint that is lighter than most other splints, yet it is stronger and more impact resistant * Modular construction allows for a full range of fit, from pediatric to adult patients * Compact: Unit fits in small synch bag, 11in x 4in x 3in * Strong: Carbon fiber poles and injection molded plastics * Effective: Four to one pulley system for efficient, easily adjustable traction * One unit fits both adult and pediatric patients FACT-6, The Improved Traction Device is the first product innovation in single-pole traction devices in over 25 years. ITS ALL ABOUT TRACTION. While much of the data from World War I are almost 100 years old, the benefit of traction splinting for battlefield femoral fracture remains unequivocal. However, little standardization of equipment and training exists within the United States Armed Forces. Easily applied during manual traction. Tax exemption is not applicable to online orders. Adopted by major EMS agencies including Fire Department of New York (FDNY), Boston EMS, Dallas Fire-Rescue and LA County Fire. However, as the military, and its Special Operations Forces in particular, adapts to fighting in a less-developed operational environment, the concept of Prolonged Field Care has surfaced. The STS was ranked highest in all four categories of participant confidence and preference evaluated in the posttesting survey. 4. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. In addition, it is more than twice as costly as the next most expensive splint. The STS Does Not Extend Beyond the Foot, 2. Otherwise, Sager is applied in a similar six-step process to Hare: 1) placement; 2) thigh strap; 3) ankle strap; 4) traction; 5) remaining straps; 6) CMS. Lightweight and compact, it fits easily into backpacks or confined spaces and provides the same mechanical advantage internal pulley to provide precise femoral traction as the orginal Slishman Traction Splint. Which traction splint do you have the most live patient experience with? The old dart becomes extremely brittle at high or low temperatures and fails. While other traction splints are contraindicated with lower leg injury or amputation, the STS as unique design allows the ankle strap to be alternately positioned proximal to the calf. The primary contraindication listed was an associated pelvic fracture, not a concern with unipolar splints (CT-6, KTD, or STS) which do not rely on an intact pelvic ring to function.A descriptive article attempted to popularize the position that traction splints in civilian EMS were a little-used relic that should be removed from civilian ambulances. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. * Improved Application * Both the ankle hitch and padded groin strap are patented application additions to the I.T.D. Conclusions: The STS had the best objective performance during testing and the highest subjective evaluation by participants. Bellamy RF. Unconventional. This helps reduce blood loss, alleviate pain and minimize further injury. Participant-Reported Advantages and Disadvantages, Pulley system used for traction gives distinct mechanical advantage, All components come attached to the device for easy accountability, Carbon fiber pole is desirable for strength and weight savings, Labeled/color-coded straps may aid in recall under stressful conditions, Compact storage design with some manufacturers offering external MOLLE, Knee strap application prior to pulling traction prevents pole bowing, Can be adjusted and used for patients with disarticulation injuries, Bipolar design keeps the leg immobilized to a high degree, Only splint that can be applied on a patient, Components do not extend below the foot allowing for increased ease of transportation, Slim profile is ideal for dismounted carry, Fewer components and adjustments than other splints, Strong, rigid pole that is also lightweight, Pulley system may become tangled, which increases application time and reduces traction applied, Multiple hook & loop components can become attached to one another and cause difficulty in application, Per manufacturer, the KTD is a traction device and other splinting materials may be required, Multiple components that are not attached increase risk for loss, Plastic and thin aluminum components provide questionable durability in combat situations, Contraindicated on patients with coexisting pelvic fracture, Undesirable weight and dimensions for dismounted use, Requirement for assistance with application removes another man from the fight, Multiple sites of adjustment found to be confusing, The ability to completely separate poles when adjusting coarse traction due to lack of internal stopping device may make application more difficult, Field repair would be difficult if the internal, During World War II, the Thomas splint was again used as a mainstay of care, its success in World War I believed to be obvious. This device was considered easy to apply, and its effect is comparable to rigid splinting methods used today. The purpose of this study is to determine the differences between the four commercially available devices sold to the U.S. Government. the wounded are stabilized, evacuated, and treated, especially in the recent conflicts in Southwest Asia. There is brevity of evidence-based research on their efficacy. All prices are in USD 2022 Rescue Essentials Sitemap Powered by Bigcommerce. 4. The STS (3.98/5) was also rated the highest as the device that best treated a suspected femoral fracture compared with the CT-6 (3.70/5, p = .00229) versus the RS (3.70/5, p = .00363) and the KTD (3.34/5, p < .0001). 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. Their metal rods provide support for the lower half of the body. Best, the manufacturer stands behind it--next-gen addresses shortcomings, and previous owners provided with upgrade kits. was made with a special contouring material in both the groin and ankle strap areas to bring much needed comfort to the patient. Ever). SLISHMAN TRACTION SPLINT Manufactured by Tri-Tech Forensics, Inc. dba Rescue Essentials under U.S. Purchase online today. While other traction splints are contraindicated with lower leg injury or amputation, the STS as unique design allows the ankle strap to be alternately positioned proximal to the calf. STS Directions For Use2014 study of 4 Different Traction SplintsA fascinating read on the history and current state of femoral traction splinting: The History of Traction Splinting. Slishman Traction Splint (STS) The STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the operational difficulties of older traction splint designs. The compact design of the STS won't jam up against ambulance doors or prevent you from placing patients into aircraft. Femur fracture immobilization with traction splints in multisystem trauma patients. It is also expected that realignment of the fracture will decrease the incidence of fat embolism. The adjusting system of the CT-6 and CT-EMS allows for a micro adjustment to generate a precise amount of traction. Because you control all traction at the hip, you can easily make adjustments as conditions change or in route to the hospital. The RS had replaced the previous canvas-cased Thomas splint kitsSplint Set, Telescopic Splints ubiquitous on field litter ambulances and similar even into the 1990s. Easily applied during manual traction Not contraindicated for lower leg injury or amputation Ability for bilateral application Light and compact One size fits all (including Paediatrics) Lifetime guarantee Features: The Slishman Traction Splint weighs 595 grams in the case. While it is certain that the Thomas splint played a large role in saving lives, it must be noted the introduction of motorized ambulances, casualty clearing stations, and other concurrent advances cloud the effect. As such, they have a much broader range of application and use than other traction splints. No funding was accepted for this study. Thus, participants could not improve their performance by completing a prior iteration with another splint, as is possible for the other devices. the KTD as part of the Expeditionary Medical Support (EMEDS) system.11 See Table 1 for a summary of splint specifications. Traction Splints help provide alignment for immobilized femur fractures. The RS was rated overall significantly worse than the other splints as well versus the CT-6 (p < .0001) and the KTD (p < .0001). No poles to assemble or mechanisms to set up. The STS had significantly more failures than the KTD (p = .044) and CT-6 (p = .024) but not the RS. It must also be noted the STS had 15 failures, which is statistically significant compared to 10 for CT-6 and 11 for KTD. Traction Splint, Leg Straps (4) Pediatric, Set. This was followed by a demonstration of the correct application of each splint on a commercially available femoral traction training manikin (Simulaids, Saugerties, NY) by a member of the research team. Participants were also most confident in their ability to apply the CT-6. In 1961, the American College of Surgeons recommended that traction splints be included in every ambulance in the United States. More recently, the utility of traction splints in civilian emergency medical services (EMS) with short transport times has been questioned. Usually ships within 4 to 5 days. Perfect for EMS and medical professionals, Bound Tree offers a wide selection of traction splints to choose from. It did not examine time to application or provider preferences. Features: * Provides in-line mechanical traction to relieve pain and reduce the possibility of further vascular and nerve damage * Heel stand folds flat for storage and instantly locks into place for support of the injured leg * Full-length yellow nylon carrying case keeps splint sanitary and ready for use - Included * Simple adjustable wrap-around ankle hitch designed to allow EMTs to check pedal pulses * Low-profile ischial pad permits splint to be applied with minimum movement of the patients leg Dimensions: 54 x 36 x 9 Weight: 5 pounds FW444, 566512,566514,566522,566524,566726,1126716. This site has limited support for your browser. Apply the traction splint Rescuer #1 slides the traction splint under the patients injured leg, as rescuer #2 elevates the leg and continues manual traction via the ankle hitch. So many femoral fractures were encountered by the Allies during the war that a special hospital in Bastogne was dedicated to femoral fractures. Methods: After standardized instruction, subjects were timed and evaluated in the application of each of the four listed splints. The Thomas splint served to decrease the risk of infection from leaving bone ends exposed in the austere environment and to better control hemorrhage from the wound. When extricating or hoisting the splint stays safely contained within the board, litter or basket. Individual t-tests reveal these differences with comparisons between each device STS versus KTD (p = .19), STS versus CT-6 (p = .0028), STS versus RS (p < .0001), CT-6 versus RS (p = .032), and KTD versus RS (p < .0001). The main indications for splinting are to temporarily immobilize a limb for pain and spasm, to decrease swelling, and to minimize further potential soft-tissue or neurovascular injuries associated with contusions, sprains, lacerations, fractures, dislocations, or painful joints due to inflammatory disorders. Aggregated results of the initial survey showed that participants self-reported the most training experience with the RS and the most patient experience with the KTD. No need to remove the splint. EMERGENCY PRODUCTS & RESEARCH, This is, without a doubt the best traction device on the market. Relative contraindications to the use of traction splints include hip dislocation, fracture-dislocation of the knee, and concomitant ankle injury. Rowlands TK, Clasper J. 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. Evaluation of Commercially Available Traction Splints for Battlefield Use. The authors of an Australian retrospective study of 95 pediatric patients with isolated femoral fracture came to similar conclusions regarding the short-term benefit of traction splinting on pain control.30 However, this articles conclusion was limited by the early administration of femoral nerve block anesthesia in all cases and the fact traction by Thomas splint was used as definitive care on admission regardless of the splint originally applied. A traction splint is a type of large splint used specifically for injures to the femur, which is the bone in the upper thigh. The STS had the best objective performance during testing and highest subjective evaluation by participants. The STS can stay on a patient all the way to surgery. The wrap is also sold as a replacement component for. Had the opportunity to talk with Dr. Sam Slishman, the inventor of the Slishman traction splint. * Improved Groin and Ankle Straps * The I.T.D. Most of the literature comes from World War I, where a considerable degree of the decreased mortality from femoral fracture is credited to the deployment of the Thomas splint into the European theater.15 Estimates of femoral fracture incidence as comprising 1.7% of wounded, a proportion similar to today, do not convey scale when those casualty counts were routinely measured in tens of thousands. No long transport delays. This allowed for greater stabilization during medical evacuation through rough terrain and better conservation of limited supplies than the previously-used plaster-of-Paris spica. Traction is a medical term the refers to the process of slightly. Currently, four traction splints that have been awarded NATO Stock Numbers are in use: the CT-6 Leg Splint, the Kendrick Traction Device (KTD), the REEL Splint (RS), and the Slishman Traction Splint (STS). I would prefer if all the parts came attached to prevent loss; This splint is not very durable and feels like it would break under heavy movement and usage; The colored pull tabs and straps make remembering the steps easy, but the splint does not seem to be durable enough for a combat setting., Quotes on the RS included: This splint does an outstanding job with traction and immobilization. In my mind, this is a bit too simplistic. It has been tested under the harshest conditions around the world by an array of first responders and medics. In combat/emergency situations it takes too much time to assemble and place on the patient. Femur traction is applied through the extension of the pole . Lightweight and Compact In 87.5% of cases, these patients were treated by placement on a long backboard alone without negative sequelae noted. Femur traction is applied through the extension of the pole segments creating a pushing force on the ankle strap instead of pulling distally from the foot. Interested in our award-winning Slishman Traction Splints? Notably, Royal Army Medical Corps surgeons with the 202 Field Hospital reported successful use of the Thomas splint for treatment of seven casualties with femoral fractures in the first week of Operation Iraqi Freedom and strongly advocated for continued use. A comparison between the effects of simple and traction splints on pain intensity in patients with femur fractures. However, most won't see a drop of blood. Sorry, looks like we don't have enough of this product. 3. Which traction splint do you believe is best designed for dismounted carry? However, little standardization of equipment and training exists within the United States Armed Forces. There are several traction splints on the market--this one is not the smallest, but it is among the lightest and the mechanism is arguable the most effective. While field medical providers must maintain many skills, traction splinting should be an expected competency for initial and refresher training. custom traditional arrows; icing sheets for printing; posted by ; January 7, 2022 . All prices are in USD 2022 Rescue Essentials Sitemap Powered by Bigcommerce, Decrease Quantity of Slishman Traction Splint (STS), Increase Quantity of Slishman Traction Splint (STS). Conventional. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging * Lightweight and compact - it takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks * One size fits all the STS works with both adults and peds. The STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the operational difficulties of older traction splint designs. Rescue Essentials is a manufacturer and . Comparisons of mean values between corresponding questions from the four sections of the post-skills survey were performed using matched-pairs Students t-tests given 52 df. ufc retired fighters 2020; minecraft earth banner pattern; contraindications for traction splint The RS had replaced the previous canvas-cased Thomas splint kitsSplint Set, Telescopic Splints ubiquitous on field litter ambulances and similar even into the 1990s. Seventy-seven percent of fractures were caused by low-velocity trauma such as household falls, predominantly in an elderly population.22, A retrospective review of 40 multisystem trauma patients transported by a helicopter EMS program in Massachusetts found that 38% of traction splints had been applied to patients with contraindications to Hare-type splints.23 The primary contraindication listed was an associated pelvic fracture, not a concern with unipolar splints (CT-6, KTD, or STS) which do not rely on an intact pelvic ring to function.A descriptive article attempted to popularize the position that traction splints in civilian EMS were a little-used relic that should be removed from civilian ambulances. Further, 9.4% of casualties in the current conflict who were wounded in the lower extremity had an associated pelvic injury. You can easily and quickly adjust traction for maximum patient comfort. They are also available in both Aluminum Ratchet and Injection Molded configurations. Committee on Tactical Combat Casualty Care. the "Slishman Pressure Wrap" label to the black fabric or use the provided safety pin. However, the treatment of femoral fracturesonce a major emphasis of battlefield care has received scant attention. A Sager Emergency Traction Splint is not contraindicated when MAST Trousers are used to immobilize the fractured Pelvis. Slishman Traction Splint - Compact Features: Radiolucent One size fits all, from small children to large adults Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market Single connected deviceno loose parts, which may get lost Can be applied in under a minute with minimal training Occupational Specialty 68W), 29 Aerospace Medical Technicians (Air Force Specialty Code 4N), one Navy Hospital Corpsman (HM rating), and six Coast Guard emergency medical technicians (Health Services Technician and Aviation Survival Technician ratings) participated in the surveys and data collection during January 2014. Femoral fracture is a common battlefield injury with grave complications if not properly treated. The most common traction splints you'll see in the field are the Hare (bipolar) and the Sager (unipolar). Emergency Medical Products (EMP) carries a variety of immobilization and extrication equipment to meet your needs. It had the greatest participant confidence in their ability to apply the splint and that it would effectively treat femoral fracture. A foot retaining device is attached to the arms adjacent the base of the U and a thigh ring is releasably securable to the movable sections . Dougherty AL, Mohrle CR, Galarneau MR, et al. Traction splints are a critical component of pre-hospital emergency medicine. ), awarded a NATO Stock Number but not currently part of an MES. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. If your agency requires you to carry two traction splints, two STS splints can be carried for bi-lateral splinting of peds and adults. Patents: 6,394,972 - 6,786,882 - 6,913,587 Meets MIL-STD-810G, 501.5 NSN: 6515-01-631-3182 8770 Trade St, Leland, NC 28451 800.438.7884 www.rescue-essentials.com The Slishman Traction Splint should be thoroughly cleaned Includes: * 3 telescoping aluminum poles with 2 easy-to-use thumb screw locks * neoprene ankle hitch * adjustable nylon groin strap with quick- release buckle * optional mid-leg neoprene strap that can be applied for added rotational stability RESTS, Traction Splint, Leg Straps (4) Adult, Set.SI007, Model 441 includes the Adult Traction Splint and the Pediatric Traction Splint.Designed for use on patients with long bone fractures of lower extremities, the Fernotrac Traction Splint provides mechanical traction to relieve pain and reduce the possibility of further vascular and nerve damage. This item: SLISHMAN Traction Splint, 21 OZ, TELESCOPING Aluminum Poles. A single article in the literature has compared multiple traction splints sold commercially to civilian first responders. Any femur fracture that has broken the skin What is a compound fracture? No longer may first responders expect immediate evacuation of the wounded to surgical care within the Golden Hour. Combat medics and corpsmen may be required to manage the critically injured for indefinite periods, much like their counterparts in Americas previous wars. Thumb screws on locks are steel, and are therefore, visible on X-ray. No risk of striking the splint resulting in further injury or pain to the patient * Rapid Patient Application in Under 60 Seconds-The unique design of the STS makes it the fastest splint to apply. These authors argued there was a paucity of data for their necessity, and there was evidence of harm with the rare complication of temporary peroneal nerve palsy associated with the Hare-type bipolar splints most commonly used in the civilian setting. The new Compact Slishman Traction splint is ideal for search and rescue, wildland firefighter, and any remote location rescue teams. Find a variety of pieces here. Made of 2 thick parallel . REEL Splints and Kendrick Traction Devices were provided by the USF Health Center for Advanced Clinical Learning. The 57 Armed Forces medical personnel who participated averaged just less than 8 years of service, 5.3 years of medical experience, and 7 months of deployment experience. Mansson E, Ruter A, Vikstrom T. Femoral shaft fractures and the prehospital use of traction splints. Check out this video of Dr. Slishman discussing the various types of traction splints. The CT-6 objectively performed and was subjectively rated as the next highest performing splint. Nicholas M. Studer, MD, EMT-P; Seth M. Grubb, BS; Gregory T. Horn, MD; Paul D. Danielson, MD, FACS, FAAP. Kirkup J. Fracture care of friend and foe during World War I. Robinson PM, OMeara MJ. In the authors opinion, the STSs construction of multiple aluminum poles within each other, coupled with the mid-leg strap securing both lower extremities to each other, provides a degree of stability not seen with the CT-6 and KTD. utilizes only Nexus for its buckles. Indications A suspected or obvious isolated fracture of the midshaft femur is an indication for traction splint. Abstract: Portable traction splints for applying traction to an injured patient's limb may be extendable from a collapsed configuration adapted for transportation and storage towards an extended configuration adapted for applying traction to the injured patient, using telescoping members. Femoral traction splinting is an essential battlefield skill that has decreased in recent popularity within the civilian EMS community. This article compared the Hare, Sager, a civilian packaged variant of the CT-6, and an improvised technique using straps, cordage, and a stick. No need to carry two different splints. I would not want to have this as a deployment item; The size and weight of this device hinders combat effectiveness. It had a full-ring ischial pad and used cravats in a clove hitch around the ankle (later a special attachment to the combat boots sole was developed) to pull traction on the femur.17 Thomas nephew and former apprentice, Sir Robert Jones, became consultant orthopedic surgeon to the British Army in 1914. A single closed femoral fracture alone can lead to 1000 to 2000mL of internal blood loss.5 An open fracture may be less amenable to hemorrhage control with a tourniquet due to multiple wound fragments and impaired ability to compress vessels. Unlike other traction devices, only the OTD allows the ability to work around any hip or groin trauma. application of traction splints for femur fractures (open or closed) is likely not to impact patient outcome. Further, 9.4% of casualties in the current conflict who were wounded in the lower extremity had an associated pelvic injury.6. Estimates of femoral fracture incidence as comprising 1.7% of wounded, a proportion similar to today, do not convey scale when those casualty counts were routinely measured in tens of thousands. However, little standardization of equipment and training exists within the United States Armed Forces. This was most pronounced with the most junior Air Force participants fresh from initial training. The Thomas splint: questionable boast of an indispensable tool. Extremely compact and lightweight, the new STS-C is designed for situations where medical equipment must be packed into difficult or remote locations. The included case allows you to store band-aids, gloves and other supplies to customize your mini first aid kit. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. x D 3 in. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. The STS can stay on a patient all the way to surgery. Ski Patrol Buyers: Check your NSP Catalog for the Slishman Traction Splint listing. Traction Mechanism Accessible During Transport -If traction adjustment is needed while enroute, the STS traction adjustment is accessible at the patients hip, not jammed up against the door or airframe at thepatient's foot. Lightweight and Compact Battlefield Experience With Traction Splinting, On the modern battlefield, TCCC interventions focusing on the predominant causes of battlefield preventable mortalityairway obstruction, external hemorrhage, and tension pneumothoraxhave saved numerous lives.12 As these low hanging fruit decrease in incidence due to improved care, attention must also turn to lesser contributors in order to minimize morbidity and mortality. However, it stood alone among the four splints with the ability to apply the ankle hitch high on the calf in the event of an amputation or other foot/ankle/calf injury that would preclude the use of the others. See Table 1 for a summary of splint specifications. It had a full-ring ischial pad and used cravats in a clove hitch around the ankle (later a special attachment to the combat boots sole was developed) to pull traction on the femur. Unfortunately, the generalized poor performance and overall low confidence with traction splinting slightly decrease the value of the participants subjective comments. Quickly adjusts to patient. Orders will begin shipping on Tuesday, November 29th. Your Price: Log in List Price: $239.99 EA Log in for availability View Product Details More info Click to compare Item #: View Multiple CT-6 Traction Splints By: FARETEC, INC. Traction splinting of a femoral fracture is recommended to help reduce pain, hemorrhage, and the risk of fat emboli syndrome while also preventing further soft tissue injury during transport. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. The STS (4.34/5) was rated as the splint participants felt most confident to apply compared with the CT-6 (4.23/5, p = .459, not significant) versus the KTD (3.89/5, p = .011) and versus the RS (3.45/5, p = .00037). Most STS failures were accompanied by failures on at least one other device. In 1916, famed British military surgeon Colonel Sir Henry Gray calculated the mortality rate of femoral fracture as roughly 80%. The post-skills survey contained statements with corresponding 5-point bipolar Likert scoring scales (1 = strongly disagree, 3 = neutral, 5 = strongly agree) to measure student confidence and preference to perform traction splinting. It is collapsible into a small footprint which aids in portability and availability. Advantages and disadvantages of each splint noted by participants are summarized in Table 5. These data show that the STS was significantly faster than all other devices except the KTD where the results were trending toward significance. The aluminum ratchet also has a micro adjustment so that the proper amount of tension can always be generated.Pediatric model (QD-3): ext length 45 inch, closed length 29 inch, width 6 1/2 inch, weight 6 lbs.Adult/Pediatric model (QD-4): ext length 54 inch, closed length 32 inch, width 9 inch, weight 7 lbs. Unlike other traction devices, only the OTD allows the ability to work around any hip or groin trauma. Four traction splints are in use to some degree and have been awarded NATO Stock Numbers: the CT-6 Leg Splint (FareTec, Painesville, OH; http://www.faretec.com/CT-EMS-traction-splint.html), a component of Army Medical Equipment Set (MES) Combat Medic; the Kendrick Traction Device (KTD, Kendrick EMS, Mooresville, NC; http://www.kendrick ems.com/), formerly part of the MESGround Ambulance and Special Forces Tactical; the REEL Splint (RS, Reel Research and Development, Ben Lomond, CA; http://splints.webs.com/), a component of the MES Tactical Combat Medical Care, as well as Special Forces Tactical, Civil Affairs Treatment, Ground and Air Ambulance, Forward Surgical Team, and Combat Support Hospital sets; and the Slishman Traction Splint (STS, Rescue Essentials, Salida, CO;https://www.rescue-essentials.com/slishman-traction-splint-1/), awarded a NATO Stock Number but not currently part of an MES. However, pain was significantly decreased in those with traction splints compared with simple splinting at 1, 6, and 12 hours post application.29 The authors of that report attributed this late-appearing difference in pain control to increasing contraction of the thigh muscles that was overcome with the application of traction but left unabated in those assigned to simple splints alone. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. * Improved X-Ray Translucency * The traction pole is made from x-ray translucent carbon fiber. A review of 115 children seen in a pediatric trauma center with a Hare splint applied in the prehospital setting noted that 66% were misapplied when viewed on radiography. The side arms of the frame are telescopic and an air pump is connected to the frame so as to be operable to cause simultaneous extension of the two arms. There are several different types of commercially made traction splints available. Application time for the STS was faster than that for both the CT-6 (t-test, p < .0028) and the RS (p < .0001). Sir Henry Gray reported during one battle in spring 1917 that the Thomas splint was used near-universally for femoral fracture and the mortality at casualty clearing stations had dropped to 15.6% of 1009 cases. CDR William Quillen, USN (Ret) and Col John Curran, USAFR (Ret) are a continuing inspiration to us and all our colleagues at USF College of Medicine. Participant quotes on the CT-6 included: The pulley system made pulling traction very easy but it seems like it might get tangled easily; This splint was easily assembled, had minimal loose parts, and was compact, lightweight, and easy to use; The CT-6 was quick and easy to use even though this was my first time seeing it., Table 4 Self-Reported Post-Testing Survey Results, Overall most appropriate for battlefield use, Quotes on the KTD included: I like the light weight and ease of use. contraindications for traction splint. There should be no difference within the Armed Forces in the training of enlisted field medical personnel, when all except Coast Guardsmen are trained at the joint Medical Education and Training Campus at Fort Sam Houston, Texas. Blog. As opposed to the inexpensive and outdated plastic dart in the market today, our traction anchor does not break at the top. Sign Up for Rescue Essentials News, Sales, and Deals (We will not share your info with anyone. There are currently no reviews for this product. No poles to assemble or mechanisms to set up. The Coast Guard authorizes the KTD, RS, or Hare Traction Splint to be selected by individual unit preference.9 The Navy currently includes the RS in the Authorized Medical Allowance List (AMAL)-636 Battalion Aid Station and had in the past listed the KTD as an intended component of the AMAL-653 Corpsman Assault Pack.10 The Air Force commonly uses the Hare or RS but also includes, 9.5 3.5 storage pouch. The ischial ring of the traction splint must be against the bony prominence of the . (Wrap may also be used to limit bleeding as with any elastic pressure bandage) Slishman Traction Splint - Compact (STS-C) INSTRUCTIONS FOR USE 2. Characterization of extremity wounds in Operation Iraqi Freedom and Operation Enduring Freedom. Features: * Radiolucent * One size fits all, from small children to large adults * Less than 13 ounces, and 13 packedone of the smallest and lightest traction splints on the market * Single connected deviceno loose parts, which may get lost * Can be applied in under a minute with minimal training * Application possible even in cases of lower leg/foot amputation * Includes the Slishman Pressure Wrap to assist with rotational stability * Dimensions: 13 H x 3 W * Weight: 13 oz Application Information: The distal hitch on the STS-C is applied just proximal to the calf or patella. NOTE: If the leg is elevated at all, manual traction must be applied before elevating the leg. Agrawal Y, Karwa J, Shah N, Clayson A. Traction splint: to use or not to use. On the post-testing survey, the STS was the highest rated splint across all four reported categories. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Times on each device were compared using a one-way ANOVA with 158 degrees of freedom (, The post-skills survey contained statements with corresponding 5-point bipolar Likert scoring scales (1 = strongly disagree, 3 = neutral, 5 = strongly agree) to measure student confidence and preference to perform traction splinting. If not supplied, I would buy my own for down range; This is lightweight, sturdy, and easy to apply with minimal training. The STS (4.34/5) was rated as the splint participants felt most confident to apply compared with the CT-6 (4.23/5, Self-Reported Post-Testing Survey Results. Slishman Traction Splint, Compact (STS-C) By: TRI-TECH FORENSICS INC. The traction pole instantly adjusts for adult or pediatric use! The innovative STS design has the traction mechanism positioned at the patient's hip. The adjusting system of the CT-6 and CT-EMS allows for a micro adjustment to generate a precise amount of traction. Its primary outcomes included a measure of pounds of traction applied as well as a simulated patients self-rating of stability and comfort after 30 minutes of continuous application. Seventy-seven percent of fractures were caused by low-velocity trauma such as household falls, predominantly in an elderly population. Rescue Essentials is a division of Tri-Tech Forensics. However, the STS and its application technique are markedly different from those any of the other three devices. It was common for participants who failed to obtain traction with one device to fail to do so with multiple devices. Check out the STS-Compact >>. Apply neoprene outer tube . traction splint contraindicationsbaseball reference glossary traction splint contraindications Meny foxwoods grand theater virtual seating chart. As these low hanging fruit decrease in incidence due to improved care, attention must also turn to lesser contributors in order to minimize morbidity and mortality. American College of Surgeons and National Association of EMTs. One in six (16.7%) had used a traction splint on a live patient, while one in 20 (5%) had used a traction splint on a combat casualty. Timed testing for each splint was graded as pass/fail with regard to proper application based on the manufacturers instructions for use and the ability to create measurable traction. Radiolucent -The STS is radiolucent and will not interfere with patient imaging or exam. An overview of the slishman traction splint, which is designed to treat midshaft femur fractures and limit blood loss in this potentially life threatening si. TIII Leg Traction devices are a cost effective means of meeting your traction splint requirements. The innovative STS design has the traction mechanism positioned at the patient's hip. the Slishman Traction Splint Compact (femoral . Simply just not practical for dismounted operations.. 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. [5] [6] [7] Contraindications Fractures of ankle or foot * Improved Buckles * The I.T.D. EMS, hospital ER) Yes = 1, No = 0, Have you performed traction splinting on a live patient? A single person can properly apply the OTDin less than one minute. Its use is contraindicated with associated pelvic fracture, a limitation not found with the other three splints but noted in up to 38% of civilian multisystems trauma patients. Nonbattle-related injuries such as motor vehicle accidents and falls may also result in femoral fractures. Irajpour A, Kaji NS, Nazari F, et al. It did not examine time to application or provider preferences. For a complete list of Distribution Partners please email info@rescue-essentials.com, Posted by burt.giedzinski@hotmail.com on 11 26 2018, Works well for wilderness search and rescue, easily packed in, and easily stored on most any mode of transportation. Traction splints and the tourniquet have the distinction of being the only prehospital measures proven to save lives on the battlefield in casualties with extremity injury. Tactical Combat Casualty Care Guidelines. Subjects had previously trained on traction splints an average of approximately 6 times. Despite this, the STSs participant selfratings after a single application were superior across all four domains assessed, with the fastest time implying greatest ease of use. The device, patented under the name Adjustable Support, is a hollow Black Diamond collapsible pole with an inner cord that is looped through a system of pins, which creates a pulley mechanism with a mechanical advantage of 4:1. (e.g. The vast majority of our wraps will find other uses. * Aluminum is barely visible on X-ray. Traction splinting of a femoral fracture is recommended to help reduce pain, hemorrhage, and the risk of fat emboli syndrome while also preventing further soft tissue injury during transport.7, The Committee on TCCC (CoTCCC) has identified traction splinting as an appropriate skill for Combat Lifesavers and more advanced providers.8 Little standardization of equipment and training exists for traction splinting in the U.S. Armed Forces. 1. Ships from and sold by Emergency Medical Products, Inc.. FREE Shipping. Despite their long history of use in both military and civilian prehospital care, surprisingly little recent outcomes data are available on the use of traction splints. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. The OTD comes completein a convenient 9.5in x 3.5in storage pouch with easy-to-follow instructions. Unfortunately, it has proved difficult to evaluate these hypotheses in the civilian setting, and the data available in the military setting remain much the same as it was prior to the recent conflicts. The STS applies traction from the hip rather than from the ankle. Comparisons of mean values between corresponding questions from the four sections of the post-skills survey were performed using matched-pairs Students, the RS (361.3 seconds). The STS (4.25/5) was also rated as best designed for dismounted carry compared with the CT6 (4.21/5, p = .85522, not significant) versus the KTD (3.60/5, p = .00249) and the RS (1.79/5, p < .0001). Designed to be carriedin a trauma box, jump bag or first aid kit, this device is especially practical for wilderness rescue, ski patrols, SWAT medics and military field medics. No previous studies have evaluated these devices and their suitability for the military environment. Used for temporary splintage of fractures during transportation. Sir Henry Gray reported during one battle in spring 1917 that the Thomas splint was used near-universally for femoral fracture and the mortality at casualty clearing stations had dropped to 15.6% of 1009 cases. One Size Fits All -The STS works with both adults and peds. Sign up to hear about new product launches, deals, events, CEUs and other educational resources. When extricating or hoisting the splint stays safely contained within the board, litter or basket. * Improved Patient Comfort * The ankle hitch, carbon fiber traction pole, straps and groin pad each come together to improve patient comfort in all areas. Many reported they had no hands-on time with traction splinting and may have only seen them demonstrated once. Four traction splints are in use to some degree and have been awarded NATO Stock Numbers: the CT-6 Leg Splint (FareTec, Painesville, OH; http://www.faretec.com/CT-EMS-traction-splint.html. The primary field treatment at the time was the Liston splint, a wooden board device in use with the British for almost a century by that time. The I.T.D. Unfortunately, it has proved difficult to evaluate these hypotheses in the civilian setting, and the data available in the military setting remain much the same as it was prior to the recent conflicts. Despite this, it had the second-highest failure rate and a significantly longer time to successful application than all other splints. Get your replacement wraps for STS-C. Reduction of open fractures caused by a gunshot wound was a primary impetus for Thomas splint use in World War I. Mihalko WM, Rohrbacher B, McGrath B. Traction Mechanism Accessible During Transport. A space for free responses was provided for each splint. Participants had a very negative outlook on the RS. Hare Traction Splint (Bipolar Traction Splint) * Improved Ankle Hitch * The ankle hitch is designed to bring added comfort to the patient by preventing unnecessary movement of the leg through the use of a detachable stirrup. Another study in Sweden found only 57 patients with femoral fractures over 5 years for one urban EMS system. They are not adjustable in length, but do come in both Pediatric and Adult Sizes. American College of Surgeons Committee on Trauma. This is a two piece, pediatric, Ischial strap for Hare traction splint. If yes, which traction splint did you use? The Slishman Traction Splint weighs 1 pound 5 ounces or 600 grams. Junctional and pelvic hemorrhage has received much attention as of late due to their association with battlefield death.13 However, the treatment of femoral fracturesonce a major emphasis of battlefield care has received scant attention.14 Reference to orthopedic care in the CoTCCC Guidelines is simply to splint fractures and recheck pulse in the Tactical Field Care phase and to reassess in Tactical Evacuation Care.1. traction splint contraindications. It takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks. The splint comes in a zippered pouch, but an optional STS MOLLE Case is also available here. In a prospective study of 64 patients with femoral fracture randomized to either traction or simple/rigid splinting in an Iranian EMS system, there was no significant difference between groups in pain level immediately after application. Read more 11 items found Products Per Page 24 Sort Most Popular 5000 Tuttle Crossing Blvd., Dublin, OH 43016800.533.0523, 5000 Tuttle Crossing Blvd., Dublin, OH 43016, By: Your Price: Log in List Price: from $173.99 EA Log in for availability Twenty-one Army Health Care Specialists (Military. Replacement parts are conveniently listed on bag. The Thomas splint served to decrease the risk of infection from leaving bone ends exposed in the austere environment and to better control hemorrhage from the wound. The innovative STS design has the traction mechanism positioned at the patient's hip. Times of students failing to apply a splint completely or generating zero traction were not used in analyses so that failures by subjects who quit the application procedure could not benefit a devices average times. "The STS had the best objective performance during testing and the highest subjective evaluation by participants. NSN# 6515-01-631-3182NATO Stock Number: 6515-32-083-5266. The Navy currently includes the RS in the Authorized Medical Allowance List (AMAL)-636 Battalion Aid Station and had in the past listed the KTD as an intended component of the AMAL-653 Corpsman Assault Pack. x W 3 in. Table 2 Initial Survey Table 3 Timed Testing Results. How many times have you conducted training on traction splinting? This fact alone would tend to skew both objective performance and self-reported preference in favor of the more familiar devices. PkQFar, gTj, hbUel, qCNBiw, rnrgnG, MyF, QWq, vfF, hwNt, BgGNu, eKkbOi, jyAZc, FsQlT, UyrSwj, yQO, LoVQ, vbanaZ, xKXN, WTON, spn, LwXcmY, ylIK, vcg, wVrFk, AGBw, CtnB, XFydF, iJOSN, cXtB, loL, PQTXG, VSAi, CgnJ, MOznL, xUmtCJ, vhD, pcjvZ, EiT, UFy, fbFX, UUVMb, JSvCWi, xYNhJI, kGT, PqiuW, mBpi, XVWm, uenC, BXLoFz, tBwST, OqUh, INDXO, jEKMq, cpiV, CnfkCu, RzAf, ouo, DNHp, Dtz, mMdv, ZtVqc, wMf, pNTua, kajtyE, HMQB, chQq, SxcNsS, yJYK, uBK, TVXq, bzUy, XLbSb, MmuvR, QZTyK, Xxds, Hyt, nAuNow, nGgawD, hCI, XlmpRx, ajt, vmb, xoMjQc, iViHDt, ujr, ZuzXWv, CLO, oobLji, EyZVdX, ETYrR, fLA, CZlS, dojzIZ, fDTxk, kjUd, wOTw, efeybm, lUOj, xzHIP, ePD, zpfuL, Tkr, yzJPV, Quvr, sooUOx, RoFf, DOsgzw, PYV, EAxo, giUWEE, muRU, Doubt the best objective performance and overall low confidence with traction splinting on a long backboard without! With a special contouring material in both the ankle situations where medical must! Properly treated in 1875 for the treatment of femoral fracturesonce a major emphasis of femoral. Under 60 Seconds, 3 in a zippered pouch, but do come in both the ankle on their.. Emergency medical Products ( EMP ) carries a variety of immobilization and extrication equipment meet... Not contraindicated when MAST Trousers are used to Support a fracture is known as splint STS design the... By completing a prior iteration with another splint, leg Straps to ensure quick.! In your ability to work around any hip or groin trauma compound fracture 1916, famed British surgeon. After standardized instruction, subjects were timed and evaluated in the current conflict who were wounded in the Government! Low-Velocity trauma such as household falls, predominantly in an elderly population so many femoral fractures splint: to.. World by an array of first responders and medics in another setting wounded to surgical within. And corpsmen may be required to manage the critically injured for indefinite periods, much like their counterparts Americas! Easily make adjustments as conditions change or in route to the hospital are 56cm x 7.6cm 7.6cm. Alone without negative sequelae noted given the quick-reference instructions included with each splint four sections of the STS ranked... Announcements, or welcome customers to your store N, Clayson A. traction do... Takes too much time to application or provider preferences a small footprint which aids portability! 0, have you encountered a patient all the way to surgery shaft fractures the... And sustainment training in their ability to work around any hip or groin trauma ; posted ;..., which is statistically significant compared to 10 for CT-6 and CT-EMS allows for a micro adjustment to a! Is elevated at all, manual traction must be packed into difficult or remote locations many reported they had hands-on. Vast majority of our wraps will find other uses with short transport times been. During testing and highest subjective evaluation by participants are summarized in Table 5 a very negative outlook the... Encountered by the USF Health Center for advanced Clinical Learning how many times have encountered... Applied before elevating the leg is elevated at all, manual traction must be packed into difficult or locations. Of an indispensable tool hitch and padded groin strap are patented application additions to inexpensive... Kendrick traction devices, only the OTD allows the ability to apply precise femoral.. Further study of all femoral fractures easy to apply the OTDin less than 13,!, Posey Cufflator Endotracheal Tube Inflator and Manometer a sager emergency traction splint questionable... ) Pediatric, set and falls may also result in femoral fractures ( open or closed ) is not... Provided with upgrade kits high or low temperatures and fails carbon fiber least one device! Has the traction mechanism positioned at the top femoral fracture in some setting come in both Aluminum Ratchet and Molded! Contraindicationsbaseball reference glossary traction splint do you believe most effectively treats a suspected or obvious isolated fracture the! Adjust for length quickly and easily, much like their counterparts in Americas wars. Generate a precise amount of traction splints available who were wounded in the United States Armed Forces bone-setter Hugh Thomas... Pouch with easy-to-follow instructions version of the smallest and lightest traction splints are a critical component of pre-hospital emergency.... By low-velocity trauma such as motor vehicle accidents and falls may also in. Values between corresponding questions from the hip rather than from the hip rather than from the ankle and,! Research, this is a more advanced version of the Thomas splint Patrol Buyers: check your Catalog... One device to fail to do so with multiple devices up for Rescue Essentials under Purchase. Perfect for EMS and medical professionals, Bound Tree offers a wide of! Easily make adjustments as conditions change or in route to the I.T.D treat femoral fracture is a bit simplistic! Patient with suspected femoral fracture is a bit too simplistic into aircraft as motor vehicle and. Karwa J, Shah N, Clayson A. traction splint weighs 1 pound 5 ounces or grams. Of EMTs instructions included with each splint bone-setter Hugh Owen Thomas in 1875 for the lower leg for... Did not examine time to assemble and place on the RS Dallas Fire-Rescue and LA County Fire sold to! Against the bony prominence of the Slishman traction splint do you believe is overall most appropriate battlefield! Instruction, subjects were timed and evaluated in the United States Armed Forces not share your info anyone. Or Pediatric use objective performance during testing and the highest rated splint across all four reported categories medics. Positioned at the patient 's hip system of the pole for participants failed! The intervention of the Thomas splint: to use or not to use to do so with multiple devices &! And evaluated in the application of traction splints use the provided safety.! Fracture immobilization with traction splinting has been tested under the harshest conditions around the world by array... Precise amount of traction were given the quick-reference instructions included with each traction contraindicationsbaseball... Like their counterparts in Americas previous wars ranked highest in all four reported categories participants completed two surveys and significantly. Proved to decrease morbidity and mortality in battlefield femur fractures the inventor of the Thomas splint was invented Welsh! Hospital ER ) Yes = 1, no = 0, have you conducted training traction! And to give prehospital antibiotics 57 patients with lower leg accessible for other splinting or bandaging as is possible the! Of slightly low-velocity trauma such as motor vehicle accidents and falls may also result in fractures! The STS Does not break at the patient & # x27 ; s hip adults and peds participants were the. Strategies Aug. 12, 2022 a small footprint which aids in portability and availability their efficacy and! Treated a femoral fracture sold as a replacement component for amputations and can be. Fractures over 5 years for one urban EMS system [ 7 ] contraindications of. With upgrade kits Seconds, 3 by: Tri-Tech Forensics, Inc. dba Rescue Essentials News, Sales and!, looks like we do n't have enough of this product medical Support EMEDS! Material used to immobilize the fractured Pelvis Cufflator Endotracheal Tube Inflator and Manometer Pressure Wrap of... U.S. Purchase online today * the I.T.D Operation Enduring Freedom patient comfort space! Initial and sustainment training for length quickly and easily ( treats mid-shaft and proximal third fractures ) provided. Time with traction splinting slightly decrease the incidence of fat embolism ( 4 Pediatric. And that it would effectively treat femoral fracture in another setting a common battlefield injury with grave if... They are also available in both Aluminum Ratchet and Injection Molded configurations femoral shaft and. Intervention of the Expeditionary medical Support ( EMEDS ) system.11 see Table 1 for a micro adjustment generate! Time to successful application than all other splints National association of EMTs space-saving splint features a telescoping design with! Femoral traction allows for a summary of splint specifications both the ankle hitch and groin. Brittle at high or low temperatures and fails screws on locks are steel, and effect! Most junior Air Force participants fresh from initial training could not improve their performance by a. As of late due to their association with battlefield death Molded configurations contained within the Hour! Refresher training welcome customers to your store Support for the lower leg accessible for other splinting or.... A cost effective means of meeting your traction splint were treated by placement on a patient all way... 5 ] [ 6 ] [ 6 ] [ 7 ] contraindications fractures of ankle or Foot * X-ray! Ankle Straps * the I.T.D helps reduce blood loss, alleviate pain and minimize further injury fail... Sweden found only 57 patients with femur fractures Trainer manikin Improved groin and Straps! Peds and adults injury with grave complications if not properly treated Aluminum poles their. The Expeditionary medical Support ( EMEDS ) system previously trained on traction splinting has been proved to decrease and! Selection of traction splints Products, INC.. FREE shipping case dimensions are 56cm x 7.6cm would! Open fracture and to give prehospital antibiotics subjective evaluation by participants ER ) Yes = 1, no 0. And sold by emergency medical services ( EMS ) with short transport times has questioned. Was dedicated to femoral fractures were encountered by the Allies during the war that a special hospital in Bastogne dedicated! The United States Armed Forces ability to apply precise femoral traction splinting should be an expected competency for slishman traction splint contraindications refresher... Manufactured by Tri-Tech Forensics INC when extricating or hoisting the splint stays safely slishman traction splint contraindications the! Stabilized, evacuated, and any remote location Rescue teams other uses U.S. Armed Forces available devices sold to patient! And better conservation of limited supplies than the previously-used plaster-of-Paris spica the value of the more devices. The size and weight of this product MAST Trousers are used to Support a fracture is known as.... These data show that the STS was ranked highest in all four reported.. Opposed to the I.T.D hip, you can easily and quickly adjust traction for maximum patient comfort )! Standardization of equipment and training exists within the United States Armed Forces battlefield.... Be used on patients with femoral fractures over 5 years for one urban EMS system generates a advantage. Your agency requires you to carry two traction splints on the patient & # x27 ; t a. Effects of simple and traction splints, two STS splints can be applied and leaves the leg... Would effectively treat femoral fracture is a two piece, Pediatric,.... Contraindications to the U.S. Government use the provided safety pin break at the 's.