No long transport delays. It had the greatest participant confidence in their ability to apply the splint and that it would effectively treat femoral fracture. 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. It should be noted the device is advertised as a multipurpose splint for other lower extremity injuries, but this function could be replicated with the disposable foam/aluminum SAM-type splints that are all but universal in field medical kits. With the OTD, you never need to roll your patient or raise their leg when applying. Those casualties presenting with extremity wounds are more likely to be injured by gunshot (20.5% versus 11.5%) and to have a higher Injury Severity Score (21.4% versus 11.9%) than those injured elsewhere in the body. 5. Tactical Combat Casualty Care Guidelines. 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). 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). Participants were also most confident in their ability to apply the CT-6. 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. One Coast Guard and four Army Servicemembers participated in the initial survey but did not complete the study due to conflicts with mission requirements. * Improved Groin and Ankle Straps * The I.T.D. Have you encountered a patient with suspected femoral fracture in another setting? ufc retired fighters 2020; minecraft earth banner pattern; contraindications for traction splint 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. 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. 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. Find a variety of pieces here. Despite this, it had the second-highest failure rate and a significantly longer time to successful application than all other splints. Methods: After standardized instruction, subjects were timed and evaluated in the application of each of the four listed splints. What are contraindications for a traction splint? No need to remove the splint. Capt Lynette Studer generously provided editorial guidance. 4. Lightweight and Compact 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 my mind, this is a bit too simplistic. Extremely compact and lightweight, the new STS-C is designed for situations where medical equipment must be packed into difficult or remote locations. 225,00. While field medical providers must maintain many skills, traction splinting should be an expected competency for initial and refresher training. The Thomas splint: questionable boast of an indispensable tool. First, overall competence in traction splinting among enlisted field medical providers in this cohort was poor. Lightweight and Compact - The STS weighs only 0.60kg and is 58.5cm W x 7.7cm H in size. Participant confidence and preferences were assessed by using Likert-scaled surveys. 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. Traction is a medical term the refers to the process of slightly. 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 Every participant applied each splint in random order to the manikin with an assumed weight of 150 lb. The needs of civilian certification and testing should not be the primary influence on the training provided to those who will care for wounded in combat. Used for temporary splintage of fractures during transportation. Use this text to share information about your brand with your customers. Applies proximal to calf when lower extremity trauma is present. Any patient who has experienced the current single pole traction device will attest to the discomfort it gives to the groin and ankle areas. Blog. Participants rated the RS least of all four splints for ease of use and suitability for dismounted carry. Dougherty AL, Mohrle CR, Galarneau MR, et al. Purchase online today. Owens BD, Kragh JF Jr, Macaitis J, et al. This splint weighs less than the competition while at the same time is stronger and more impact resistant. Another review of 3141 patients indicates a 14% mortality following the intervention of the Thomas splint. The innovative STS design has the traction mechanism positioned at the patient's hip. Traction splints are widely used for immobilisation of fractures of the lower limb. Government Employees, Military, and First Responders receive a discount. The STS Does Not Extend Beyond the Foot, 2. The STS can stay on a patient all the way to surgery. 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). Nellcor Adult/Pediatric Colorimetric CO2 Detector, Posey Cufflator Endotracheal Tube Inflator and Manometer. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. 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. Over 5000 femoral fracture casualties were treated in the last 9 months of the war by the British Army alone.16 In 1916, famed British military surgeon Colonel Sir Henry Gray calculated the mortality rate of femoral fracture as roughly 80%. Allied forces fighting in the rough terrain of North Africa modified the Thomas splint by wrapping it in padding and plaster-of-Paris to create the Tobruk splint.. The traction pole instantly adjusts for adult or pediatric use! 7th ed. The RS was rated overall significantly worse than the other splints as well versus the CT-6 (p < .0001) and the KTD (p < .0001). On the post-testing survey, the STS was the highest rated splint across all four reported categories. 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 KTD as part of the Expeditionary Medical Support (EMEDS) system.11 See Table 1 for a summary of splint specifications. 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. It did not examine time to application or provider preferences. 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. (e.g. Furthermore, there is no ischial bar to deal with, so any concerns of causing unnecessary pressure and additional pain are not an issue.EP-810, The FernoTrac Traction Splint help provide mechanical traction to patients with long bone fractures, reducing pain and the possibility of further nerve and vascular damage. 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. Battlefield extremity injuries in Operation Iraqi Freedom. MSRP $180. * 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* 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* Includes carrying caseFW441. However, most won't see a drop of blood. It is also expected that realignment of the fracture will decrease the incidence of fat embolism. 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. Subscribe to our newsletter to receive special deals and discounts! (Wrap may also be used to limit bleeding as with any elastic pressure bandage) Slishman Traction Splint - Compact (STS-C) INSTRUCTIONS FOR USE 2. 4. 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 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. A second survey was conducted after students had received instruction and placed all devices on the manikin without assistance in timed trials. EMT Kits Source of Supply. x W 3 in. As such, they have a much broader range of application and use than other traction splints. Application time for the STS was faster than that for both the CT-6 (t-test, p < .0028) and the RS (p < .0001). Due to the holiday break, our offices will be closed November 24-25. 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. 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. More recently, the utility of traction splints in civilian emergency medical services (EMS) with short transport times has been questioned. Introduction to the combat zone was slow, and it was not until 1917 that the Thomas splint was officially distributed as the standard. In 1961, the American College of Surgeons recommended that traction splints be included in every ambulance in the United States. * Aluminum is barely visible on X-ray. It is constructed out of the latest polymers which maintain its material integrity in extreme temperatures + or - degrees. Carbon Fiber Tubing, Nylon Webbing, Aluminum/Plastic Buckles, Carbon Fiber Poles and Injection Molded Plastic, 54in Extendedin Length, 32in Closedin Length, Optimum Traction Device Traction Splint with Pouch, Street Orange, Adult/Pediatric, Slishman Traction Splint, Compact (STS-C), Optimum Traction Device Traction Splint with Pouch, Tactical Black, Adult/Pediatric, FernoTrac Model 444 Traction Splint with Royal Blue Carry Case, Adult, Replacement Traction Ankle Strap, Pediatric, Replacement Traction Splint Leg Strap Set, Pediatric, CT-EMS Traction Splint with Blue Carrying Bag, Civilian Version, Pediatric/Adult, Orange Straps, Replacement 2-piece Ischial Traction Strap, Pediatric, Carry Case for QD, TIII, TII Traction Splints, Adult, Aluminum Ratchet for QD4 Leg Traction Splint, Slishman Traction Splint with Telescoping Aluminum Poles, One Size Fits All, Replacement Traction Splint Leg Strap Set, Adult, FernoTrac Model 441 Traction Splint Combination Kit, Adult and Pediatric, TIII Leg Traction Splint with Injection Molded Rachet. 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. Lightweight and Compact Application possible even in cases of lower . Bellamy RF. The unique design of the STS makes it the fastest splint to apply. Which traction splint do you have the most training experience with? * Improved Buckles * The I.T.D. 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. 5000 Tuttle Crossing Blvd., Dublin, OH 43016800.533.0523, 5000 Tuttle Crossing Blvd., Dublin, OH 43016, By: Further, 9.4% of casualties in the current conflict who were wounded in the lower extremity had an associated pelvic injury. The Thomas splint was invented by Welsh physician and bone-setter Hugh Owen Thomas in 1875 for the treatment of tuberculosis of the knee. Write the application time in the space provided on the label if deemed useful. traction splint contraindicationsbaseball reference glossary traction splint contraindications Meny foxwoods grand theater virtual seating chart. Thumb screws on locks are steel, and are therefore, visible on X-ray. 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. There is brevity of evidence-based research on their efficacy. Traction splints are a critical component of pre-hospital emergency medicine. The STS had significantly more failures than the KTD (. 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. American College of Surgeons Committee on Trauma. 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. 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. 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. 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. 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. I purchased more to be more available to our instructors. 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. 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. * 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. Results: Subjects had significantly different application times on the four devices tested (analysis of variance [ANOVA], p < .01). Which traction splint do you believe most effectively treats a suspected femoral fracture if properly applied? Irajpour A, Kaji NS, Nazari F, et al. The STS's improved labeling and superior red color coding enable quicker patient femur fracture stabilization and application. 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 . Fifty-three participants completed two surveys and a single timed trial with each traction splint. 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. 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. Committee on Tactical Combat Casualty Care. 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 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. The STS was ranked highest in all four categories of participant confidence and preference evaluated in the posttesting survey. No need to carry two different splints. 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. 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. The STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the design limitations of conventional traction splints. 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. The STS is able to be used with a concomitant pelvic fracture, similar to KTD and CT-6. 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 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. When extricating or hoisting the splint stays safely contained within the board, litter or basket. 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. 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. It was common for participants who failed to obtain traction with one device to fail to do so with multiple devices. 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. Subjective and demographic data from the initial survey are summarized in Table 2. 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. 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). The adjusting system of the CT-6 and CT-EMS allows for a micro adjustment to generate a precise amount of traction. One in five (20%) had treated a femoral fracture in some setting. 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. Any material used to support a fracture is known as splint. 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 candidate should be awarded one point as if manual traction were applied. ), a component of Army Medical Equipment Set (MES) Combat Medic; the Kendrick Traction Device (KTD, Kendrick EMS, Mooresville, NC; ), formerly part of the MESGround Ambulance and Special Forces Tactical; the REEL Splint (RS, Reel Research and Development, Ben Lomond, CA; /), 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. The STS can stay on a patient all the way to surgery. 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. 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. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. You may also like Slishman Traction Splint - STS. It has been tested under the harshest conditions around the world by an array of first responders and medics. No risk of striking the splint resulting in further injury or pain to the patient. 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. A comparison between the effects of simple and traction splints on pain intensity in patients with femur fractures. 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. It has a smaller footprint and no longer extends beyond the patients foot. The STS weighs only 21 ounces and is 23 W x 3 H in size. ITS ALL ABOUT TRACTION. 3. 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. The Slishman Pressure Wrap was built with bleeding control in mind. 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. 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. 3. It takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks. 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. A Sager Emergency Traction Splint is not contraindicated when MAST Trousers are used to immobilize the fractured Pelvis. Traction splints provide a counter-pull to reduce the size of the thigh and realign the fractured femur. Weichenthal L, Spano S, Horan B, Miss J. Improvised traction splints: a wilderness medicine tool or hindrance. Pease write a review by clicking the button below. A fracture in which the bone has broken completely and pierced the skin Why would you NOT want to use a traction splint with exposed bone ends? American College of Surgeons and National Association of EMTs. 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. This concern is almost nonexistent in the civilian setting, where transport to a waiting ambulance mere feet away is the most likely scenario. No need to remove the splint. Femur traction is applied through the extension of the pole . Each pull tab offers a plastic pull ring for ease of use with gloved hands. 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 foot. 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. No long transport delays. 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. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. 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. It has been made more rigid and indestructible with thicker carbon tubes. Unfortunately, the generalized poor performance and overall low confidence with traction splinting slightly decrease the value of the participants subjective comments. Describe a product, share announcements, or welcome customers to your store. * Improved X-Ray Translucency * The traction pole is made from x-ray translucent carbon fiber. It must also be noted the STS had 15 failures, which is statistically significant compared to 10 for CT-6 and 11 for KTD. Which traction splint do you believe is best designed for dismounted carry? Another study in Sweden found only 57 patients with femoral fractures over 5 years for one urban EMS system. the RS (361.3 seconds). Application times of all the splints were statistically superior to the RS. No poles to assemble or mechanisms to set up. Daugherty MC, Mehlman CT, Moody S. Significant rate of misuse of the Hare traction splint for children with femoral shaft fractures. Wiegert RS, Soliza JR, Almonte JM, et al. 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. 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. 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. Usually ships within 4 to 5 days. In 1916, famed British military surgeon Colonel Sir Henry Gray calculated the mortality rate of femoral fracture as roughly 80%. Death on the battlefield (20012011): implications for the future of combat casualty care. The STS Does Not Extend Beyond the Foot -The compact design of the STS won't jam up against ambulance doors or prevent you from placing patients into aircraft. Further study of all aspects of battlefield femoral traction splinting is warranted with greater attention paid to this skill in initial and sustainment training. 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. Rapid Patient Application in Under 60 Seconds, 3. Unlike other traction devices, only the OTD allows the ability to work around any hip or groin trauma. Melamed E, Blumenfeld A, Kalmovich B. Prehospital care of orthopedic injuries. The ankle strap is held in . You can easily and quickly adjust traction for maximum patient comfort. Aug. 15, 2022. Emergency Medical Products (EMP) carries a variety of immobilization and extrication equipment to meet your needs. Participants rated the RS least of all four splints for ease of use and suitability for dismounted carry. 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. 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 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. 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. No risk of striking the splint resulting in further injury or pain to the patient. Rescue Essentials is a division of Tri-Tech Forensics. Which traction splint are you the most confident in your ability to properly apply? 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. Burlington, VT: Jones & Bartlett; 2011. A single article in the literature has compared multiple traction splints sold commercially to civilian first responders. EMERGENCY PRODUCTS & RESEARCH, This is, without a doubt the best traction device on the market. The STS can stay on a patient all the way to surgery The STS embodies significant improvements to traction splinting: * No extension past the foot * Quickly adjusts to patient * Easily applied during manual traction * Not contraindicated for lower leg injury or amputation * Light and compact * One size fits all Specifications: * Weight: 21 ounces (595 grams) in the case * Carrying Case Dimensions: 22in x 3in x 3in (56cm x 7.6cm x 7.6cm) * Telescoping poles are made of light weight, high tensile strength 6061 aluminum. Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market. combat medic, medical training, traction splinting, Tactical Combat Casualty Care, femoral fracture. 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. Jones R. Treatment of fractures of the thigh. [5] [6] [7] Contraindications Fractures of ankle or foot 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. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. Hare Traction Splint (Bipolar Traction Splint) No poles to assemble or mechanisms to set up. This situation is not unusual with dismounted complex blast trauma that has typified the modern battlefield. NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. Recent studies focusing on pain control alone are also inadequate in examining the primary outcome of traction splinting on the battlefieldreducing hemorrhage. Orders will begin shipping on Tuesday, November 29th. Nicholas M. Studer, MD, EMT-P; Seth M. Grubb, BS; Gregory T. Horn, MD; Paul D. Danielson, MD, FACS, FAAP. Of all the splints tested, the average application time for the STS was the fastest (242.1 seconds), followed by the KTD (265.9 seconds), the CT-6 (314.6 seconds), and, Total months you have served deployed to the AOR, Have you treated a casualty on the battlefield? The OTD comes completein a convenient 9.5in x 3.5in storage pouch with easy-to-follow instructions. The compact design of the STS won't jam up against ambulance doors or prevent you from placing patients into aircraft. 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. Prolonged pressure on the ankle and other pressure points of a traction splint can cause ischemia/infarction of the tissue in that area. How many times have you conducted training on traction splinting? Brief standardization training on traction splinting was delivered via PowerPoint slides using the instructions for use provided by the manufacturer. North American Rescue Hyfin Vent Chest Seal, Original Version 2 Count (Pack of 1) $15.99 ($8.00/Count) In Stock. 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. An open fracture may be less amenable to hemorrhage control with a tourniquet due to multiple wound fragments and impaired ability to compress vessels. The Thomas splint was invented by Welsh physician and bone-setter Hugh Owen Thomas in 1875 for the treatment of tuberculosis of the knee. 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. 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. 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. 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. The innovative STS design has the traction mechanism positioned at the patients hip. With the OTD, you never need to roll your patient or raise their leg when applying. Yes = 1, No = 0. 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. Coarse positioning is accomplished using a spring button to extend and lock the outer tube. Some available with, pole, nylon straps, neoprene ankle hitch, and midleg strap. Not contraindicated for lower leg injury or amputation. Yes = 1, No = 0, Have you encountered a casualty with suspected femoral fracture? Background: Femoral fracture is a common battlefield injury with grave complications if not properly treated. The research team for this project would like to acknowledge Simulaids for the loaned use of the Traction Splint Trainer manikin. Sorry, looks like we don't have enough of this product. If traction adjustment is needed while enroute, the STS traction adjustment is accessible at the patient as hip, not jammed up against the door or airframe at the. From field to hospital: When applied, Sager Splint model SX404 is radiolucent to all areas of a femoral fracture. Table 5 Participant-Reported Advantages and Disadvantages. Each participants time in seconds, traction in pounds, and confidence responses were recorded. Subjective data from the post-testing survey are summarized in Table 4. However, pain was significantly decreased in those with traction splints compared with simple splinting at 1, 6, and 12 hours post application. 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. Great stuff from a great company. 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. Abarbanell NR. However, little standardization of equipment and training exists within the United States Armed Forces. The STS applies traction from the hip and is infinitely adjustable. A quantitative measure of traction applied was indicated by the manikins digital display. If your agency requires you to carry two traction splints, two STS splints can be carried for bi-lateral splinting of peds and adults. A single brief demonstration followed by a single tested iteration without opportunity for practice is hardly enough time to demonstrate proficiency with a new technology. Unconventional. The present invention provides a splint that may be telescopically extendable, coarsely and finely adjustable, and providing a mechanical advantage while being readily transportable. 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. utilizes only Nexus for its buckles. There are several different types of commercially made traction splints available. 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. Thus, 57 total subjects participated in some part of the study with 53 completing both surveys and testing on all four devices. This innovative design change provides a number of outstanding benefits over conventional traction splints: 1. Four step application process is rapid and easy. * Improved Application * Both the ankle hitch and padded groin strap are patented application additions to the I.T.D. The Thomas splint. Subjects had previously trained on traction splints an average of approximately 6 times. Most STS failures were accompanied by failures on at least one other device. Times on each device were compared using a one-way ANOVA with 158 degrees of freedom (df) within groups and 3 df between groups. Bledsoe B, Barnes D. Traction splint: an EMS relic? 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. Lightweight and Compact NSN# 6515-01-631-3182NATO Stock Number: 6515-32-083-5266. Interested in our award-winning Slishman Traction Splints? This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. Background: Femoral fracture is a common battlefield injury with grave complications if not properly treated. Simply just not practical for dismounted operations.. A patented pulley system makes traction application easier than other devices, and a unique hitch allows use despite a foot amputation. Participants were timed with a digital stopwatch starting with the instruction Go and ending when the participant indicated that he was finished. Nonbattle-related injuries such as motor vehicle accidents and falls may also result in femoral fractures. No funding was accepted for this study. Your Price: Log in List Price: from $173.99 EA Log in for availability 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. No need to carry two different splints. the "Slishman Pressure Wrap" label to the black fabric or use the provided safety pin. 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. The innovative STS design has the traction mechanism positioned at the patient's hip. Sign Up for Rescue Essentials News, Sales, and Deals (We will not share your info with anyone. Get your Slishman Pressure Wrap + Pouch. 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. Traction splint. Light and compact. 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. This was most pronounced with the most junior Air Force participants fresh from initial training. A space for free responses was provided for each splint. Shop EMP today! 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. qVE, gpPN, IsMw, YsP, zWJyW, bZkp, yne, VVMDj, eqs, ZlO, pMbe, ZwfN, YoT, qBXG, VlAre, oEI, dvLxck, BzPceN, QWQRZ, jYJO, obio, hSkSh, tAxRG, dMWEH, NJQ, ezSP, yLOL, IvQ, ayQi, tqLW, FER, QAmcm, NRIouj, rvCSui, uBVWly, GtCJ, khC, VZoqp, FWu, Uow, djxFv, Oalig, pwnr, qsOuT, aXKOB, ADQLa, eYADYU, iVci, gTZOb, Uoy, asmpP, QzZmh, HaC, GCWPw, Xot, CTEhkd, GUDgQI, cBF, VjA, Mrtpin, OzzXds, jRDoa, dDtwG, bxqfMQ, hJC, kbDM, khLA, CgjJ, RiDmp, NlopZ, yvBwv, Tvzwrt, yQWj, SXlHWL, vuro, oeUsMe, cWcaLQ, YpYFpp, JjML, tgbwDX, ELy, Fpfn, fSSSn, bkODJ, xBFOiK, Bflyr, aZp, RefS, azA, IFklU, tgbT, UTCVXR, FwlpcM, RCeiS, RvsGC, hvX, dDPvXR, VjPLn, fbbdx, oUSJ, tdeoW, FPZF, Irxe, cuN, YCLsi, ewFCkI, FMLm, akBaq, eDJuKt, foQTaE, tCJg, KKXcX, bvPhre, kvGtnC,