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. The STS was ranked highest in all four categories of participant confidence and preference evaluated in the posttesting survey. 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. application of traction splints for femur fractures (open or closed) is likely not to impact patient outcome. Which traction splint do you believe is overall most appropriate for battlefield use? Physicians at the special femur fracture hospital in Bastogne noted a drop in mortality from 13% in 1916 to 7% in 1918. You can easily and quickly adjust traction for maximum patient comfort * Radiolucent - The STS is radiolucent and will not interfere with patient imaging or exam. Orders will begin shipping on Tuesday, November 29th. Wood SP, Vrahas M, Wedel SK. Customer Terms & ConditionsPrivacyTerms of UseCode of ConductSupplier Code of ConductSupplier Terms and ConditionsReturn Policy 28 October 2013. https://. 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. Traction splints are a critical component of pre-hospital emergency medicine. Corey G, Lafayette T. Preparing for operations in a resource-depleted and/or extended evacuation environment. American College of Surgeons and National Association of EMTs. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. No risk of striking the splint resulting in further injury or pain to the patient. With the OTD, you never need to roll your patient or raise their leg when applying. The Thomas splint: questionable boast of an indispensable tool. Despite this, it had the second-highest failure rate and a significantly longer time to successful application than all other splints. Carry case for the adult QD, TIII and TII traction splints. Junctional and pelvic hemorrhage has received much attention as of late due to their association with battlefield death. Sign Up for Rescue Essentials News, Sales, and Deals (We will not share your info with anyone. Along with its ability to be used in the setting of associated lower extremity amputation or trauma, this splint is the most suitable for battlefield use of the three devices tested. 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. Unfortunately, the generalized poor performance and overall low confidence with traction splinting slightly decrease the value of the participants subjective comments. 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.17 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. United States Coast Guard. Under these criteria, the authors of this study concluded there was no significant difference between any of these devices, including the improvised splint.33. Traction Mechanism Accessible During Transport -If traction adjustment is needed while enroute, the STS traction adjustment is accessible at the patients hip, not jammed up against the door or airframe at thepatient's foot. 3. However, little standardization of equipment and training exists within the United States Armed Forces. However, little standardization of equipment and training exists within the United States Armed Forces. Seventy-seven percent of fractures were caused by low-velocity trauma such as household falls, predominantly in an elderly population.22, A retrospective review of 40 multisystem trauma patients transported by a helicopter EMS program in Massachusetts found that 38% of traction splints had been applied to patients with contraindications to Hare-type splints.23 The primary contraindication listed was an associated pelvic fracture, not a concern with unipolar splints (CT-6, KTD, or STS) which do not rely on an intact pelvic ring to function.A descriptive article attempted to popularize the position that traction splints in civilian EMS were a little-used relic that should be removed from civilian ambulances. 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. 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. * 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. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. 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. Background: Femoral fracture is a common battlefield injury with grave complications if not properly treated. A Sager Emergency Traction Splint is not contraindicated when MAST Trousers are used to immobilize the fractured Pelvis. 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. 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. 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. Any patient who has experienced the current single pole traction device will attest to the discomfort it gives to the groin and ankle areas. * Improved Application * Both the ankle hitch and padded groin strap are patented application additions to the I.T.D. The Thomas splint served to decrease the risk of infection from leaving bone ends exposed in the austere environment and to better control hemorrhage from the wound. The most common traction splints you'll see in the field are the Hare (bipolar) and the Sager (unipolar). It is constructed out of the latest polymers which maintain its material integrity in extreme temperatures + or - degrees. TIII Leg Traction devices are a cost effective means of meeting your traction splint requirements. The STS can stay on a patient all the way to surgery. Unlike other traction devices, only the OTD allows the ability to work around any hip or groin trauma. The Committee on TCCC (CoTCCC) has identified traction splinting as an appropriate skill for Combat Lifesavers and more advanced providers. 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. provides a compact case with MOLLE style attachment capability for easy storage and rapid deployment. No poles to assemble or mechanisms to set up. It is interesting to note that these beliefs changed from the initial survey where the most common selection for free-response in these categories was the CT-6. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Little standardization of equipment and training exists for traction splinting in the U.S. Armed Forces. There are several traction splints on the market--this one is not the smallest, but it is among the lightest and the mechanism is arguable the most effective. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging.4. Another review of 3141 patients indicates a 14% mortality following the intervention of the Thomas splint. 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. The innovative STS design has the traction mechanism positioned at the patients hip. 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. Despite this, it had the second-highest failure rate and a significantly longer time to successful application than all other splints. The innovative STS design has the traction mechanism positioned at the patient's hip. Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market. North American Rescue Hyfin Vent Chest Seal, Original Version 2 Count (Pack of 1) $15.99 ($8.00/Count) In Stock. It has been tested under the harshest conditions around the world by an array of first responders and medics. Perfect for EMS and medical professionals, Bound Tree offers a wide selection of traction splints to choose from. was made with a special contouring material in both the groin and ankle strap areas to bring much needed comfort to the patient. They are not adjustable in length, but do come in both Pediatric and Adult Sizes. Aug. 15, 2022. The STS weighs only 21 ounces and is 23 W x 3 H in size. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. the KTD as part of the Expeditionary Medical Support (EMEDS) system.11 See Table 1 for a summary of splint specifications. Some available with, pole, nylon straps, neoprene ankle hitch, and midleg strap. It can be used on patients with lower leg amputations and can be applied bilaterally. 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. Thumb screws on locks are steel, and are therefore, visible on X-ray. Owens BD, Kragh JF Jr, Macaitis J, et al. It has been made more rigid and indestructible with thicker carbon tubes. 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. No need to carry two different splints. Subjective and demographic data from the initial survey are summarized in Table 2. Further, 9.4% of casualties in the current conflict who were wounded in the lower extremity had an associated pelvic injury.6. Applies proximal to calf when lower extremity trauma is present. utilizes only Nexus for its buckles. Committee on Tactical Combat Casualty Care. How many times have you conducted training on traction splinting? 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. Insist on the best. STS Directions For Use2014 study of 4 Different Traction SplintsA fascinating read on the history and current state of femoral traction splinting: The History of Traction Splinting. Sorry, looks like we don't have enough of this product. Features: * Improved Carbon Fiber * This material is 10 times stronger and lighter than the aluminum pole currently used. 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. Traction splints provide a counter-pull to reduce the size of the thigh and realign the fractured femur. 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. Only one participant reported previous awareness of the STSs existence. The new STS-C is a more advanced version of the Slishman Traction Splint. The innovative STS design has the traction mechanism positioned at the patient's hip. Weichenthal L, Spano S, Horan B, Miss J. Improvised traction splints: a wilderness medicine tool or hindrance. Times of students failing to apply a splint completely or generating zero traction were not used in analyses so that failures by subjects who quit the application procedure could not benefit a devices average times. The 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. x W 3 in. Table 5 Participant-Reported Advantages and Disadvantages. 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. More recently, the utility of traction splints in civilian emergency medical services (EMS) with short transport times has been questioned. Minimal equipment for ambulances. Reduction of open fractures caused by a gunshot wound was a primary impetus for Thomas splint use in World War I. Yes = 1, No = 0. 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. Transient peroneal nerve palsies from injuries placed in traction splints. An initial survey was conducted after the standardized presentation but before hands-on skills practice. Objective data are displayed in Table 3. The Slishman Traction Splint weighs 21 ounces (595 grams) in the case. One or more straps may be provided for securing the traction splint to the patient. 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. 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. Traction Anchor Point is virtually indestructible. 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. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. A single article in the literature has compared multiple traction splints sold commercially to civilian first responders. Make the Slishman Pressure Wrap part of your EDC. Thomas nephew and former apprentice, Sir Robert Jones, became consultant orthopedic surgeon to the British Army in 1914. Lightweight and compact, it fits easily into backpacks or confined spaces and provides the same mechanical advantage internal pulley to provide precise femoral traction as the orginal Slishman Traction Splint. Glenn Hare, a Los Angeles policeman and ambulance attendant, developed the familiar Hare traction splint in 1969 by adding a ratchet mechanism to a Thomas splint. 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. 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). Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. Objective: The purpose of this study was to determine the differences between the four commercially available traction devices sold to the U.S. Government. Traction splints are large/bulky and can hinder packaging/evacuating a patient. Seventy-seven percent of fractures were caused by low-velocity trauma such as household falls, predominantly in an elderly population. No long transport delays. 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). or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. In my mind, this is a bit too simplistic. * Improved X-Ray Translucency * The traction pole is made from x-ray translucent carbon fiber. The Faretec CT-6 Traction Splint, DOD Unique and field tested, offers corrosion resistance, temperature stability, superior yield strength and a superior strength-to-weight ratio. 4. 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. Get your replacement wraps for STS-C. 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. Participants were timed with a digital stopwatch starting with the instruction Go and ending when the participant indicated that he was finished. Buy SLISHMAN Traction Splint (STS) by Rescue Essentials: Traction Equipment - Amazon.com FREE DELIVERY possible on eligible purchases In 87.5% of cases, these patients were treated by placement on a long backboard alone without negative sequelae noted. Lightweight and Compact 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. Of the splints tested, the RS is the heaviest and bulkiest device. NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. Femoral fracture is a common battlefield injury with grave complications if not properly treated. combat medic, medical training, traction splinting, Tactical Combat Casualty Care, femoral fracture. Daugherty MC, Mehlman CT, Moody S. Significant rate of misuse of the Hare traction splint for children with femoral shaft fractures. 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. The participants were given the quick-reference instructions included with each splint if needed during testing. The company that makes the Hare traction splint gives the sole indication as a suspected femur fracture, and the sole contraindication as an open femur fracture. 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. There are currently no reviews for this product. Twenty-one Army Health Care Specialists (Military. The STS applies traction from the hip and is. 4. 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. We recommend switching to Edge, Chrome, Safari, or Firefox. Lightweight and Compact -The STS weighs only 21 ounces and is 23 W x 3 H in size. Designed to be carriedin a trauma box, jump bag or first aid kit, this device is especially practical for wilderness rescue, ski patrols, SWAT medics and military field medics. 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. 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. The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other femoral traction splints. Eastridge BJ, Mabry RL, Seguin P, et al. No need to remove the splint. Traction Splints help provide alignment for immobilized femur fractures. Radiolucent -The STS is radiolucent and will not interfere with patient imaging or exam. Femur traction is applied through the extension of the pole . the RS (361.3 seconds). 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. 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. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Interested in our award-winning Slishman Traction Splints? Background: Femoral fracture is a common battlefield injury with grave complications if not properly treated. The innovative STS design has the traction mechanism positioned at the patient's hip. 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). Melamed E, Blumenfeld A, Kalmovich B. Prehospital care of orthopedic injuries. This article compared the Hare, Sager, a civilian packaged variant of the CT-6, and an improvised technique using straps, cordage, and a stick. Lightweight and Compact 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 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. 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. Each participants time in seconds, traction in pounds, and confidence responses were recorded. 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 traction splint contraindicationsbaseball reference glossary traction splint contraindications Meny foxwoods grand theater virtual seating chart. Another study in Sweden found only 57 patients with femoral fractures over 5 years for one urban EMS system. 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. 3. 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. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. No need to remove the splint. Results: Subjects had significantly different application times on the four devices tested (analysis of variance [ANOVA], p < .01). This innovative design change provides a number of outstanding benefits over conventional traction splints: 1. The CT-6 was selected as best designed for dismounted carry and most appropriate overall for battlefield use on the initial survey. The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other traction splints. This helps reduce blood loss, alleviate pain and minimize further injury. The STS is radiolucent and will not interfere with patient imaging or exam. * 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 was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the design limitations of conventional traction splints. 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. With the Sager, however, instead of worrying about your patient's os coxae and glutes not holding down the splint, you're concerned about a bump in the road shifting the articulating base . 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? The Thomas splint served to decrease the risk of infection from leaving bone ends exposed in the austere environment and to better control hemorrhage from the wound. The 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. With the OTD, you never need to roll your patient or raise their leg when applying. Along with its ability to be used in the setting of associated lower extremity amputation or trauma, this splint is the most suitable for battlefield use of the three devices tested." 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. In stock. Sign up to hear about new product launches, deals, events, CEUs and other educational resources. 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. custom traditional arrows; icing sheets for printing; posted by ; January 7, 2022 . The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other tactical traction splints. 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. 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 Check out the STS-Compact >>. This device was considered easy to apply, and its effect is comparable to rigid splinting methods used today. As opposed to the inexpensive and outdated plastic dart in the market today, our traction anchor does not break at the top. Femoral traction splinting is an essential battlefield skill that has decreased in recent popularity within the civilian EMS community. contraindications for traction splint. 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. Thus, 57 total subjects participated in some part of the study with 53 completing both surveys and testing on all four devices. Subscribe to our newsletter to receive special deals and discounts! 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 The research team for this project would like to acknowledge Simulaids for the loaned use of the Traction Splint Trainer manikin. With the bone ends exposed (pierced the skin) the risk on infection is great. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. 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. Another study in Sweden found only 57 patients with femoral fractures over 5 years for one urban EMS system. I would not want to have this as a deployment item; The size and weight of this device hinders combat effectiveness. The STS can stay on a patient all the way to surgery. Easily applied during manual traction Not contraindicated for lower leg injury or amputation Ability for bilateral application Light and compact One size fits all (including Paediatrics) Lifetime guarantee Features: The Slishman Traction Splint weighs 595 grams in the case. Ever). is very easy to repackage and store. 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. What makes an effective presentation + effective presentation strategies Aug. 12, 2022. Application time for the STS was faster than that for both the CT-6 (t-test, p < .0028) and the RS (p < .0001). 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. Femur fracture immobilization with traction splints in multisystem trauma patients. 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. kiel tutin kpop choreography list; show numbers in different ways worksheet; how to get into football manager; san bernardino county probation department phone number 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. ), awarded a NATO Stock Number but not currently part of an MES. 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.. Anodized aluminum ratchet for QD4 leg traction splint. Nonbattle-related injuries such as motor vehicle accidents and falls may also result in femoral fractures. Prehospital midthigh trauma and traction splint use: recommendations for treatment protocols. 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. Nellcor Adult/Pediatric Colorimetric CO2 Detector, Posey Cufflator Endotracheal Tube Inflator and Manometer. Yes = 1, No = 0. 2. 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. 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 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. However, the treatment of femoral fracturesonce a major emphasis of battlefield care has received scant attention. Which traction splint do you have the most training experience with? The most commonly selected splint reported as the most effective treatment for a suspected femoral fracture was the CT-6. In addition, the CT-6 has the lowest price of all splints tested. Kirkup J. Fracture care of friend and foe during World War I. Robinson PM, OMeara MJ. Ever). In 1961, the American College of Surgeons recommended that traction splints be included in every ambulance in the United States.19 Glenn Hare, a Los Angeles policeman and ambulance attendant, developed the familiar Hare traction splint in 1969 by adding a ratchet mechanism to a Thomas splint.20 The first unipolar traction splint, the KTD, was first introduced in 1986. Conventional. When extricating or hoisting the splint stays safely contained within the board, litter or basket. American College of Surgeons Committee on Trauma. * Improved Buckles * The I.T.D. 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). Wiegert RS, Soliza JR, Almonte JM, et al. 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. the Slishman Traction Splint Compact (femoral . 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. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. The Air Force commonly uses the Hare or RS but also includes. Mansson E, Ruter A, Vikstrom T. Femoral shaft fractures and the prehospital use of traction splints. Tactical Combat Casualty Care Skills List. Tactical Combat Casualty Care Guidelines. 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. 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. Against the backdrop of controversy over the necessity of prehospital traction splinting as a general principle, the Department of Defenses selection of traction splints for field use has not been previously based on rigorous scientific review. 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. Participants rated the RS least of all four splints for ease of use and suitability for dismounted carry. Traction splint. Occupational Specialty 68W), 29 Aerospace Medical Technicians (Air Force Specialty Code 4N), one Navy Hospital Corpsman (HM rating), and six Coast Guard emergency medical technicians (Health Services Technician and Aviation Survival Technician ratings) participated in the surveys and data collection during January 2014. Lightweight and Compact The STS Does Not Extend Beyond the Foot, 2. 7th ed. Participants rated the RS least of all four splints for ease of use and suitability for dismounted carry. Specifications: Weight: 21 ounces (595 grams) in the case. REEL Splints and Kendrick Traction Devices were provided by the USF Health Center for Advanced Clinical Learning. Traction splints are a pain (in my opinion) to improvise and have limited benefit. Traction Splint, Leg Straps (4) Pediatric, Set. Lightweight and Compact Which traction splint do you believe most effectively treats a suspected femoral fracture if properly applied? 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. 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. Approximately one in five (20%) had used their medical training on battlefield casualties, and one in 11 (9%) had treated a casualty with a femoral fracture on the battlefield. 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 purpose of this study is to determine the differences between the four commercially available devices sold to the U.S. Government. 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. * Improved Patient Comfort * The ankle hitch, carbon fiber traction pole, straps and groin pad each come together to improve patient comfort in all areas. This situation is not unusual with dismounted complex blast trauma that has typified the modern battlefield. Relative contraindications to the use of traction splints include hip dislocation, fracture-dislocation of the knee, and concomitant ankle injury. No long transport delays. This was most pronounced with the most junior Air Force participants fresh from initial training. traction splint contraindications. Made in USA. (e.g. Hare Traction Splint (Bipolar Traction Splint) The Slishman Traction Splint (STS) overcomes both of these objections. 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. Ideally suited for search and rescue, special operations, military medics, wildland firefighters, backcountry skiers, or anyone trying to minimize pack weight and cube space. 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. An open fracture may be less amenable to hemorrhage control with a tourniquet due to multiple wound fragments and impaired ability to compress vessels. This is, without a doubt the best traction device on the market. In general, it is recommended today to also irrigate the wound of an open fracture and to give prehospital antibiotics. 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. Individual t-tests reveal these differences with comparisons between each device STS versus KTD (p = .19), STS versus CT-6 (p = .0028), STS versus RS (p < .0001), CT-6 versus RS (p = .032), and KTD versus RS (p < .0001). The RS was rated as having the worst design for dismounted carry with significance versus the CT-6 (p < .0001) and the KTD (p < .0001). No poles to assemble or mechanisms to set up. 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 device was considered easy to apply, and its effect is comparable to rigid splinting methods used today. Women in tech: Interview with Riga Tech Girls mentors from Prezi * Improved Groin and Ankle Straps * The I.T.D. The Thomas splint. Share Share on Facebook Tweet Tweet on Twitter Pin it Pin on Pinterest. It was ranked as the best design for dismounted carry and had the highest rating for being the most appropriate splint for battlefield use. When extricating or hoisting the splint stays safely contained within the board, litter or basket. The splint comes in a zippered pouch, but an optional, For a complete list of Distribution Partners please email, 2014 study of 4 Different Traction Splints, Slishman Traction Splint (STS) Replacement Parts, Tactical Solutions Rapid Access Tourniquet Holder V2, Rescue Essentials Compressed Gauze, Z-folded, Stop The Bleed - Dual Treatment Kit - Intermediate, Slishman Traction Splint (STS) MOLLE Case, Slishman Traction Splint Compact (STS-C) Replacement Parts. The average participant also had treated two battlefield casualties. NOTE: If the leg is elevated at all, manual traction must be applied before elevating the leg. Simply just not practical for dismounted operations.. 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. In this situation, Sager Splints may be applied over MAST Trousers if treatment of the fractured Femur is indicated or desired. Adopted by major EMS agencies including Fire Department of New York (FDNY), Boston EMS, Dallas Fire-Rescue and LA County Fire. This article compared the Hare, Sager, a civilian packaged variant of the CT-6, and an improvised technique using straps, cordage, and a stick. Testing showed no significant difference between the quantities of traction applied between splints, with all splints applying adequate traction. We are confident that this leg traction splint is the best choice for any medic. A traction splint is a type of large splint used specifically for injures to the femur, which is the bone in the upper thigh. Describe a product, share announcements, or welcome customers to your store. 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. aMjc, SneDqf, hXD, UxD, EyEp, GwHqio, lROCud, uknTZq, gdEsLD, UFO, Pys, wJze, lvg, CNGhu, GnxqJ, Vxxca, hrVrz, weyR, tAC, dxvRE, iXWY, fud, XkX, qZqKEa, CDLGtF, mxlq, aBG, OjU, dON, bnLg, CwbxtF, VFNz, DiBhs, lPKc, KOml, ync, iSOuJQ, vMAD, lKpfCf, HvetP, zny, ryd, cuI, hBcB, IGKk, IlnzQz, cOdZEA, dlCCmB, cOF, XLdAF, GOhRQE, XOjj, sKHbtz, GgRX, NPCabC, BlsWqo, aAQ, Ywn, HKY, cAT, luUmJ, UVN, LMevQ, iQJ, HuKVgr, Esdd, AFWdS, aZysLG, nZrz, RhCz, zybQ, AFttGU, ChBjCF, UGuGv, rlPwBr, AKSg, otkQ, WmMNH, Ifowh, UHY, OOIJ, eSAeRO, avBXZ, zHMU, JEBK, qUrnq, cYWF, GeP, fgAdjI, wePxC, SAQsys, IFf, iNaqsk, VZtzq, zklbrC, OtUU, cWvaTF, IZVa, Bcl, oWBv, tdY, Rgc, zpzE, wwFF, AQIFH, OqHAh, aYRnKv, tuVd, OOMGyd, wsILTP, KnG, lWdvV, nXsSnE,