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How do you properly apply a traction splint Set?
Applying a traction splint requires careful attention and proper technique. Here's a general guideline on how to apply a traction splint:
Gather the necessary equipment: You will need a traction splint set, which typically includes the splint device, ankle hitch, straps, and padding.
Assess the patient: Determine if a traction splint is appropriate for the patient's condition. Traction splints are commonly used for midshaft femur fractures.
Prepare the patient: Position the patient comfortably on a flat surface, ensuring they are adequately exposed for splint application. Expose the affected leg completely.
Prepare the splint: Assemble the traction splint according to the manufacturer's instructions. Ensure that all the components are properly connected and in working order.
Apply manual traction: Stand at the affected leg's foot end and grasp the foot firmly. Apply gentle, steady traction in line with the leg's long axis, aiming to align the fractured bone ends and reduce pain.
Apply ankle hitch: Secure the ankle hitch or foot wrap provided with the traction splint set. This hitch will prevent the traction force from slipping off the foot during splint application. Ensure that it is snug but not excessively tight to avoid compromising circulation.
Position the splint: Slide the splint device underneath the affected leg, aligning it with the inner thigh and outer calf. The splint should run from the patient's groin to beyond the foot.
Secure the splint: Use the straps provided with the traction splint to secure it in place. Start by fastening the uppermost strap near the groin area, ensuring it is snug but not overly tight. Work your way down, securing the remaining straps along the splint's length.
Apply traction: Activate the traction mechanism on the splint as per the manufacturer's instructions. This may involve tightening a ratchet system or using a crank to gradually apply the desired amount of traction force. Monitor the patient for any signs of excessive pain or discomfort during this process.
Check circulation and sensation: Regularly assess the patient's distal pulses, capillary refill, and sensory function. Ensure that the traction splint is not impeding circulation or causing additional harm. Adjust the splint if necessary to relieve any pressure points.
Immobilize the leg: Once the traction is properly applied, immobilize the leg by utilizing additional stabilization methods, such as a vacuum mattress, pillows, or rolled blankets placed on each side of the splint.
Monitor the patient: Continuously monitor the patient's vital signs, pain levels, and the condition of the affected leg. Make any necessary adjustments to the splint if discomfort or changes in circulation occur.
Remember, these steps serve as a general guideline, and it's crucial to follow the specific instructions provided by the manufacturer of the traction splint you are using. Additionally, it is recommended to receive proper training and certification in splinting techniques from a recognized healthcare organization.
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