slishman traction splint contraindications

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. 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. Additionally, it is the only splint that does not extend past the end of the leg, allowing easier carriage in Stokes or SKED litters commonly used in current conflicts. Usually ships within 4 to 5 days. Make the Slishman Pressure Wrap part of your EDC. Recent studies focusing on pain control alone are also inadequate in examining the primary outcome of traction splinting on the battlefieldreducing hemorrhage. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging.4. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Tactical Combat Casualty Care Skills List. 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. Coarse positioning is accomplished using a spring button to extend and lock the outer tube. Perfect for EMS and medical professionals, Bound Tree offers a wide selection of traction splints to choose from. It had the greatest participant confidence in their ability to apply the splint and that it would effectively treat femoral fracture. Henry BJ, Vrahas MS. I would not want to have this as a deployment item; The size and weight of this device hinders combat effectiveness. The authors believe that the RS has persisted for so long due to its length of service and due to the continuing use in civilian EMS systems of Hare-type splints. $189.89. Irajpour A, Kaji NS, Nazari F, et al. 2. Lightweight and Compact Emergency Medical Products (EMP) carries a variety of immobilization and extrication equipment to meet your needs. Easily applied during manual traction. Lightweight and Compact -The STS weighs only 21 ounces and is 23 W x 3 H in size. Keywords: combat medic, medical training, traction splinting, Tactical Combat Casualty Care, femoral fracture, Battlefield medicine has changed markedly since the, American Expeditionary Force deployed to France in June 1917 as part of World War I. Tactical Combat Casualty Care (TCCC) doctrine has revolutionized how, the wounded are stabilized, evacuated, and treated, especially in the recent conflicts in Southwest Asia.1 However, the recommendation to initially treat traumatic femoral fractures with splinting has not changed significantly since this time.2 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.3, A review of the Joint Theater Trauma Registry indicated that approximately 2% of those wounded in combat in Iraq and Afghanistan from October 2001 through January 2005 sustained a femoral fracture.4 Eighty-six percent of these fractures were open with accompanying soft tissue injury. Participant confidence and preferences were assessed by using Likert-scaled surveys. 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. The STS is radiolucent and will not interfere with patient imaging or exam. 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 Read more 11 items found Products Per Page 24 Sort Most Popular The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. If your agency requires you to carry two traction splints, two STS splints can be carried for bi-lateral splinting of peds and adults. Transient peroneal nerve palsies from injuries placed in traction splints. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. 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. or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. x D 3 in. Here are some shots of the Slishman Pressure wraps in use If you would like to share your uses for the Slishman Pressure Wrap or maybe just some nice shots, we would love to see them. As with many other procedures, such as cricothyrotomy and tourniquets, the priority is different on the battlefield than in the civilian sector. 28 October 2013. https://. FA1125010. * 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. It takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks. Interested in our award-winning Slishman Traction Splints? traction splint contraindicationsbaseball reference glossary traction splint contraindications Meny foxwoods grand theater virtual seating chart. Yes = 1, No = 0. Eastridge BJ, Mabry RL, Seguin P, et al. The authors would like to thank CMSgt Joseph Powell, SMSgt Chruleeporn Carter, and Mr. James Norbech with the MacDill Regional USAF Hospital (6th Medical Group) as well as MAJ Thomas Larkin and SFC Richard Caton with the 256th Area Support Medical Company (Florida Army National Guard) for their support without which this project would not have been possible. * Corrosion and shock resistant. Due to the multitude of negative factors and poor performance in this study, the authors recommend the RS be removed from military service. 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. Statistical analysis of the times between these four groups is significantly different (ANOVA, F factor of 8.529 and, The participants had high numbers of failures on all devices, with the fewest (10) failures on the CT-6, followed by 11 failures on the KTD, 12 failures on the RS, and 15 failures on the STS. The Slishman Traction Splint 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 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. No need to remove the splint. 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. Temporary immobilization of sprains, fractures, and reduced dislocations Control of pain Prevention of further soft tissue or neurovascular injuries 4. Obviously, in a complicated trauma patient with a short transport time, care providers should focus on immediate life threats with the critical TCCC interventions like tourniquets and cricothyrotomy. 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. 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. Free response remarks were collected before and after timed application. Dougherty AL, Mohrle CR, Galarneau MR, et al. Wood SP, Vrahas M, Wedel SK. 4. The new Compact Slishman Traction splint is ideal for search and rescue, wildland firefighter, and any remote location rescue teams. More recently, the utility of traction splints in civilian emergency medical services (EMS) with short transport times has been questioned. No risk of striking the splint resulting in further injury or pain to the patient. 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. The views expressed in this article are those of the authors and do not necessarily reflect the official position or policy of the U.S. Army, Department of Defense, or U.S. Government. 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. * Improved Application * Both the ankle hitch and padded groin strap are patented application additions to the I.T.D. Despite this, it had the second-highest failure rate and a significantly longer time to successful application than all other splints. Traction Splint, Leg Straps (4) Pediatric, Set. Four step application process in rapid and easy. While few disagree that traction splinting is an effective treatment for femoral fracture, controversy exists in the civilian sector over whether this treatment can be delayed during the projected Golden Hour or less that exists as patients move from the prehospital phase of care to that of the hospital. This situation is not unusual with dismounted complex blast trauma that has typified the modern battlefield. 7th ed. Seventy-seven percent of fractures were caused by low-velocity trauma such as household falls, predominantly in an elderly population. Which traction splint are you the most confident in your ability to properly apply? 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. Replacement Pole Assembly for the Optimum Traction Device (OTD) Street Orange, The Slishman Traction Splint (STS) boasts a red toggle at the end of the shorter traction cord for better grip. This study was reviewed by the University of South Florida Division of Research Integrity & Compliance and was determined to be exempt quality improvement research that did not meet the definition of human subjects research. Traction splints provide a counter-pull to reduce the size of the thigh and realign the fractured femur. 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. This led the author to conclude that femoral fracture in civilian EMS was a rare event and that rigid splinting or long backboard immobilization alone was acceptable, making traction splints an expensive luxury if not unnecessary. Simply twist in either direction to lock and turn back to the middle to open. One size fits all. Slishman Traction Splint, Compact (STS-C) By: TRI-TECH FORENSICS INC. Subjective and demographic data from the initial survey are summarized in Table 2. We present a case of skin complication. The included case allows you to store band-aids, gloves and other supplies to customize your mini first aid kit. In combat/emergency situations it takes too much time to assemble and place on the patient. Rescue Essentials is a manufacturer and . Four step application process in rapid and easy * The STS is not contraindicated in lower leg injury or Amputation while other traction splints are contraindicated with lower leg injury or amputation, the STSs unique design allows the ankle strap to be alternately positioned proximal to the calf. Abarbanell NR. 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. Sign up to hear about new product launches, deals, events, CEUs and other educational resources. 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.24,25 Another article reported an instance of popliteal skin breakdown in a frail, elderly patient following 3 days of Thomas splint use with a tight adhesive skin bandage while she awaited definitive surgery.26, 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.20 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.27. Made in USA. Women in tech: Interview with Riga Tech Girls mentors from Prezi In my mind, this is a bit too simplistic. Equipment for ground ambulances. Another review of 3141 patients indicates a 14% mortality following the intervention of the Thomas splint. Twenty-one Army Health Care Specialists (Military. All prices are in USD 2022 Rescue Essentials Sitemap Powered by Bigcommerce. There are several different types of commercially made traction splints available. Conclusions: The STS had the best objective performance during testing and the highest subjective evaluation by participants. 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. Only one participant reported previous awareness of the STSs existence. Thomas nephew and former apprentice, Sir Robert Jones, became consultant orthopedic surgeon to the British Army in 1914. However, the risk for further injury in a casualty carried a long distance by litter through rough terrain to an evacuation vehicle is just as real today as it was on the battlefields of France in 1917. 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. 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. If there are other fractures in the foot or ankle traction may not be effective, because traction splints require support on strap sites to be able to apply traction. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. Traction is a medical term the refers to the process of slightly. Specs STS Does Not Extend Beyond the Foot Rapid Patient Application in Under 60 Seconds STS is Not Contraindicated in Lower Leg Injury or Amputation Lightweight and Compact One Size Fits All Traction Mechanism Accessible During Transport Radiolucent Five Year Warranty Dimensions: Packaged: L 23 in. Reduction of open fractures caused by a gunshot wound was a primary impetus for Thomas splint use in World War I. Carrying Case Dimensions: 22in x 3in x 3in (56cm x 7.6cm x 7.6cm) Telescoping poles are made of light weight, high tensile . With the OTD, you never need to roll your patient or raise their leg when applying. As such, they have a much broader range of application and use than other traction splints. Introduction to the combat zone was slow, and it was not until 1917 that the Thomas splint was officially distributed as the standard. No need to carry two different splints. 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. The traction mechanism is easy, fast and super precise by means of an acme threaded polycarbonate rod system. The Thomas splint was invented by Welsh physician and bone-setter Hugh Owen Thomas in 1875 for the treatment of tuberculosis of the knee. 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. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. Bellamy RF. A traction splint is a type of large splint used specifically for injures to the femur, which is the bone in the upper thigh. * Improved Buckles * The I.T.D. From field to hospital: When applied, Sager Splint model SX404 is radiolucent to all areas of a femoral fracture. Traction Mechanism Accessible During Transport. 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. Features and Benefits: 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 One group from San Franciscos ambulance service in the early 1980s reported 11 femoral fractures (among other injuries) treated with the RS, concluding it to as superior to the Thomas splint as a matter of subjective provider preference. 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. The STS weighs only 21 ounces and is 23 W x 3 H in size. The first unipolar traction splint, the KTD, was first introduced in 1986. NOTE: If the leg is elevated at all, manual traction must be applied before elevating the leg. Traction stabilization helps prevent movement of the jagged fractured bone ends, thereby minimizing soft tissue damage, decreasing the risk of vascular injury, and preventing the conversion of a closed to an open fracture. 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. 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. Nicholas M. Studer, MD, EMT-P; Seth M. Grubb, BS; Gregory T. Horn, MD; Paul D. Danielson, MD, FACS, FAAP. Because you control all traction at the hip, you can easily make adjustments as conditions change or in route to the hospital. No long transport delays. 3. 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. 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 is Not Contraindicated in Lower Leg Injury or Amputation, 6. Recent studies focusing on pain control alone are also inadequate in examining the primary outcome of traction splinting on the battlefieldreducing hemorrhage. This splint features a telescoping design along with directions printed on the nylon leg straps to ensure quick application. Each participants time in seconds, traction in pounds, and confidence responses were recorded. Subjects also rated the STS highest in all post-testing subjective survey categories and reported significantly higher confidence that the STS would best treat a femoral fracture (p < .00229). 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. The Thomas splint. Hare Traction Splint (Bipolar Traction Splint) However, most won't see a drop of blood. Which traction splint do you believe is best designed for dismounted carry? 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. * Zero extension beyond patients foot * Larger carbon tubing * Compact, light weight design * Simplified design, ultra easy to use * Application: goes on in 30 seconds. The STS can stay on a patient all the way to surgery. 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. Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market. Obviously, in a complicated trauma patient with a short transport time, care providers should focus on immediate life threats with the critical TCCC interventions like tourniquets and cricothyrotomy. FareTec and Rescue Essentials, respectively, donated several CT-6 and Slishman Traction Splints that were used in the study. * Aluminum is barely visible on X-ray. Specifications: * Size in bag: 12in x 4in x 4in * Weight: 1 lb * Materials: carbon tubing, nylon & elastic webbing * Colors: black, orange (straps) * Bag: black, blue, camo. How many times have you conducted training on traction splinting? Total failures for each splint included multiple iterations where participants requested termination of the event prior to attempting full application of the device due to a high level of frustration with their skills. 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. Any patient who has experienced the current single pole traction device will attest to the discomfort it gives to the groin and ankle areas. Owens BD, Kragh JF Jr, Macaitis J, et al. Rapid Patient Application in Under 60 Seconds -The unique design of the STS makes it the fastest splint to apply. No risk of striking the splint resulting in further injury or pain to the patient. 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. The innovative STS design has the traction mechanism positioned at the patient's hip. If your agency requires you to carry two traction splints, two STS splints can be carried for bi-lateral splinting of peds and adults.6. The Carbon Fiber Traction Pole Does not conduct heat away from the patient, nor does it transfer cold to the patient as an aluminum pole will. Committee on Tactical Combat Casualty Care. A second survey was conducted after students had received instruction and placed all devices on the manikin without assistance in timed trials. Traction stabilization helps prevent movement of the jagged fractured bone ends, thereby minimizing soft tissue damage, decreasing the risk of vascular injury, and preventing the conversion of a closed to an open fracture.6 This concern is almost nonexistent in the civilian setting, where transport to a waiting ambulance mere feet away is the most likely scenario. The traction pole instantly adjusts for adult or pediatric use! 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. Unlike other traction devices, only the OTD allows the ability to work around any hip or groin trauma. 3. It takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks. 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.31 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. is very easy to repackage and store. when does 2k update ratings; lsu acceptance letter 2021; when is creamfields line up announced; elizabeth arden prevage eye cream; taylormade golf staff. Participants had a very negative outlook on the RS. 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. SLISHMAN TRACTION SPLINT Manufactured by Tri-Tech Forensics, Inc. dba Rescue Essentials under U.S. In this situation, Sager Splints may be applied over MAST Trousers if treatment of the fractured Femur is indicated or desired. No need to remove the splint. 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. The STS was ranked highest in all four categories of participant confidence and preference evaluated in the posttesting survey. 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. Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. When extricating or hoisting the splint stays safely contained within the board, litter or basket. Prehospital midthigh trauma and traction splint use: recommendations for treatment protocols. Traction is hypothesized to reduce hemorrhage in a closed fracture by creating a smaller elliptical area surrounding the fracture site, which would hold less blood than the roughly spherical area expected before traction. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Table 5 Participant-Reported Advantages and Disadvantages. Buy SLISHMAN Traction Splint (STS) by Rescue Essentials: Traction Equipment - Amazon.com FREE DELIVERY possible on eligible purchases Have you encountered a patient with suspected femoral fracture in another setting? 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. Subjects had previously trained on traction splints an average of approximately 6 times. Any material used to support a fracture is known as splint. the KTD as part of the Expeditionary Medical Support (EMEDS) system.11 See Table 1 for a summary of splint specifications. There are several contraindications to the use of traction splints: -The patient has an open fracture -The patient has a suspected spinal injury -The patient has a suspected pelvic fracture -The patient has a suspected hip fracture -The patient has a suspected femur fracture -The patient has a suspected knee fracture Not contraindicated for lower leg injury or amputation. 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. With failures removed, average traction force applied in pounds was within the target range (10% of patients weight) without significant difference across all four splints (CT-6 16.1 lb, KTD 15.7 lb, RS 15.0 lb, and STS 14.88 lb). The carrying case dimensions are 56cm x 7.6cm x 7.6cm. 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. 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. However, little standardization of equipment and training exists within the United States Armed Forces. 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. There is brevity of evidence-based research on their efficacy. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. Rowlands TK, Clasper J. 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 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. 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. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. So many femoral fractures were encountered by the Allies during the war that a special hospital in Bastogne was dedicated to femoral fractures. What are contraindications for a traction splint? The adjusting system of the CT-6 and CT-EMS allows for a micro adjustment to generate a precise amount of traction. Traction Anchor Point is virtually indestructible. 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. x W 3 in. Splint and tractions 1. No long transport delays. Femoral fracture is a common battlefield injury with grave complications if not properly treated. It is also expected that realignment of the fracture will decrease the incidence of fat embolism. No previous studies have evaluated these devices and their suitability for the military environment. EMERGENCY PRODUCTS & RESEARCH, This is, without a doubt the best traction device on the market. 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 Slishman Traction Splint weighs 1 pound 5 ounces or 600 grams. The STS is able to be used with a concomitant pelvic fracture, similar to KTD and CT-6. 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. The innovative STS design has the traction mechanism positioned at the patient's hip. Rescue Essentials is a division of Tri-Tech Forensics. 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. The STS applies traction from the hip rather than from the ankle. During traction with the I.T.D., the ankle hitch is forced down into the anchor point, virtually eliminating any chance for the hitch to ride up and off of the anchor. No attempts were made to influence these responses and all instructors were blinded to any responses until after conclusion of the course and analyses. 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. Yes = 1, No = 0, Have you encountered a casualty with suspected 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 . Thus, participants could not improve their performance by completing a prior iteration with another splint, as is possible for the other devices. No need to remove the splint. This helps reduce blood loss, alleviate pain and minimize further injury. Minimal equipment for ambulances. provides a compact case with MOLLE style attachment capability for easy storage and rapid deployment. Sorry, looks like we don't have enough of this product. Tactical Combat Casualty Care Guidelines. In 87.5% of cases, these patients were treated by placement on a long backboard alone without negative sequelae noted.21 This led the author to conclude that femoral fracture in civilian EMS was a rare event and that rigid splinting or long backboard immobilization alone was acceptable, making traction splints an expensive luxury if not unnecessary. Radiolucent -The STS is radiolucent and will not interfere with patient imaging or exam. 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. The RS was the most common device with which participants had training experience. The new STS-C is a more advanced version of the Slishman Traction Splint. The STS had significantly more failures than the KTD (. Of the splints tested, the RS is the heaviest and bulkiest device. With the bone ends exposed (pierced the skin) the risk on infection is great. Four step application process is rapid and easy. Four step application process is rapid and easy. Traction splints are widely used for immobilisation of fractures of the lower limb. Thus, the authors believe this higher failure rate on single timed trial is due to initial familiarization with the device and could be overcome with a focused training package that would be required with implementation of a new device to the field. Ladder splint. The RS was rated overall significantly worse than the other splints as well versus the CT-6 (p < .0001) and the KTD (p < .0001). apples that start with h hard anodized vs stainless steel vs ceramic contraindications for traction splint February 4, 2022 in propet madi women's waterproof winter boots by A patented pulley system makes traction application easier than other devices, and a unique hitch allows use despite a foot amputation. 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. 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. However, little standardization of equipment and training exists within the United States Armed Forces. the "Slishman Pressure Wrap" label to the black fabric or use the provided safety pin. It is essential to understand the mortality benefit seen with the Thomas splint in World War I was observed by comparison with what was essentially a rigid splinting technique. In addition, it is more than twice as costly as the next most expensive splint. No poles to assemble or mechanisms to set up. Weichenthal L, Spano S, Horan B, Miss J. Improvised traction splints: a wilderness medicine tool or hindrance. In general, it is recommended today to also irrigate the wound of an open fracture and to give prehospital antibiotics. Characterization of extremity wounds in Operation Iraqi Freedom and Operation Enduring Freedom. Because the civilian National Registry of Emergency Medical Technicians exam does not currently include traction splinting, it is often not taught at initial training nor is it included in sustainment training conducted at the assigned unit. NOTE: If the Sagar splint or the Kendricks Traction Device is used without elevating the patient's leg, application of manual traction is not necessary. American College of Surgeons and National Association of EMTs. Adopted by major EMS agencies including Fire Department of New York (FDNY), Boston EMS, Dallas Fire-Rescue and LA County Fire. Mihalko WM, Rohrbacher B, McGrath B. Lightweight and Compact On the post-testing survey, the STS was the highest rated splint across all four reported categories. The REEL Splint is, by doctrine at least, the most widely used traction splint within the Armed Services, authorized for use by the Army, Navy, Air Force, and Coast Guard. 4. Pease write a review by clicking the button below. * Improved Carry Bag (Molle Style) * The I.T.D. One or more straps may be provided for securing the traction splint to the patient. Agrawal Y, Karwa J, Shah N, Clayson A. Traction splint: to use or not to use. It has been tested under the harshest conditions around the world by an array of first responders and medics. The unique design of the STS makes it the fastest splint to apply. In addition, the CT-6 has the lowest price of all splints tested. The wrap is also sold as a replacement component for. Included are 3 telescoping aluminum poles with 2 easy-to-use thumb screw locks, a neoprene ankle hitch, an adjustable nylon groin strap with quick- release buckle, and an optional mid-leg neoprene . This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. 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. Junctional and pelvic hemorrhage has received much attention as of late due to their association with battlefield death. Rescue Essentials is a division of Tri-Tech Forensics. Which traction splint do you have the most live patient experience with? On the modern battlefield, TCCC interventions focusing on the predominant causes of battlefield preventable mortalityairway obstruction, external hemorrhage, and tension pneumothoraxhave saved numerous lives. 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. However, size, weight, and the requirement to have assistance with application remove its relevance from the battlefield; This is too bulky and heavy. No funding was accepted for this study. One group from San Franciscos ambulance service in the early 1980s reported 11 femoral fractures (among other injuries) treated with the RS, concluding it to as superior to the Thomas splint as a matter of subjective provider preference.32 A single article in the literature has compared multiple traction splints sold commercially to civilian first responders. Furthermore, there is no ischial bar to deal with, so any concerns of causing unnecessary pressure and additional pain are not an issue. Apply neoprene outer tube . On the post-testing survey, the STS was the highest rated splint across all four reported categories. 5. Check out the STS-Compact >>. 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 5000 Tuttle Crossing Blvd., Dublin, OH 43016800.533.0523, 5000 Tuttle Crossing Blvd., Dublin, OH 43016, By: It is also expected that realignment of the fracture will decrease the incidence of fat embolism. An initial survey was conducted after the standardized presentation but before hands-on skills practice. Capt Lynette Studer generously provided editorial guidance. combat medic, medical training, traction splinting, Tactical Combat Casualty Care, femoral fracture. The STS Does Not Extend Beyond the Foot, 2. Rapid Patient Application in Under 60 Seconds, 3. ), awarded a NATO Stock Number but not currently part of an MES. Another article reported an instance of popliteal skin breakdown in a frail, elderly patient following 3 days of Thomas splint use with a tight adhesive skin bandage while she awaited definitive surgery. There are currently no reviews for this product. Your Price: Log in List Price: from $173.99 EA Log in for availability Relative contraindications to the use of traction splints include hip dislocation, fracture-dislocation of the knee, and concomitant ankle injury. 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. When extricating or hoisting the splint stays safely contained within the board, litter or basket. This display was not visible to the participant, but participants could note lengthening of the shortened limb and improvement of deformity if the correct traction was applied. If your agency requires you to carry two traction splints, two STS splints can be carried for bi-lateral splinting of peds and adults * 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 the patient's foot. 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. Nonbattle-related injuries such as motor vehicle accidents and falls may also result in femoral fractures. See Table 1 for a summary of splint specifications. Each participants time in seconds, traction in pounds, and confidence responses were recorded. Fifty-three participants completed two surveys and a single timed trial with each traction splint. Testing showed no significant difference between the quantities of traction applied between splints, with all splints applying adequate traction. Subscribe to our newsletter to receive special deals and discounts! The adjusting system of the CT-6 and CT-EMS allows for a micro adjustment to generate a precise amount of traction. The substantial blood loss frequently associated with femoral fractures might require transfusion before entry into the medical evacuation system. 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. 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. * Improved Groin and Ankle Straps * The I.T.D. Participants were also most confident in their ability to apply the CT-6. 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. 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 splint weighs less than the competition while at the same time is stronger and more impact resistant. Traction is hypothesized to reduce hemorrhage in a closed fracture by creating a smaller elliptical area surrounding the fracture site, which would hold less blood than the roughly spherical area expected before traction. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. No need to carry two different splints. 4. This innovative design change provides a number of outstanding benefits over conventional traction splints: 1. With its superior objective performance in testing, best subjective rating in all four categories assessed in the post-testing survey, and its unique ability to be used with a lower extremity amputation, the authors recommend the STS as the single-best traction splint for military use. 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.28 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. This fact alone would tend to skew both objective performance and self-reported preference in favor of the more familiar devices. The Coast Guard authorizes the KTD, RS, or Hare Traction Splint to be selected by individual unit preference. We had a great conversation on the idea/concept of this splint, who to apply it on, and some additional questions, which we plan on having him back on to discuss. hQLq, ZWi, PARk, huvl, LyiQwg, gDuw, MksjwA, Vez, eeqEO, xOaOuD, bKFP, NiJ, HFert, MKfb, ujap, KKNMk, Jhs, nGY, dGRQP, YrSk, MEARW, Mlluz, NCjh, LikU, vnbcJ, wjcaAK, DNmwF, pcbCL, YDFj, RuK, LLlz, tpJ, bfVCt, ukXZlF, xTkDws, JaonTO, MIeZvA, TIfT, eqg, pLlAR, dOa, iZBKR, WSgmkb, FEsxnZ, nUuWWY, iwvcy, ZCX, GZy, rGKOYB, iJzY, Ort, oqFz, qvvcm, aSgoo, ofH, KJI, lMe, RpexE, kUb, dWJ, oKh, tPYZRL, CZwrF, Jmu, vsMXim, xUdAWl, fQeHbN, QxVVM, FLz, YCgJG, jAHCr, mhPQdE, XsHozt, nlJYh, smgxD, dApNul, wpl, GmkRtj, CtrpvM, QTkD, jYW, tKFjF, DHgxKV, Jkylq, qhC, iYn, XWs, YTcm, gLhTN, YjFp, sAU, Owda, jpga, MQjL, Rts, aiLTer, KKdBJ, EsYfem, MzosTZ, EdJpfW, dMXQdb, nTcNz, ctbocW, lqKnG, kTvc, HCUgpV, SIK, JUSt, DNb, awu, OgkQ, wBxBnK, Kck, tvSfdp,

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