1. Tired of seeing ads? Click here to register today and the ads go away. It's completely FREE, too!
  2. Can't find what you're looking for? Use the search bar in the upper right corner.

Traction splints - tips of the trade?

Discussion in 'Education and Training' started by fm_emt, Jan 25, 2006.

  1. fm_emt

    fm_emt Useless without caffeine

    We're going to be tested on both the Sager & Hare traction splints in class. I got the chance to try out both of them last night, and I wanted to know if any of you had any tips or things to keep in mind.
    One of the reasons I'm asking is because they both seem fairly straight forward to operate and my brain keeps saying "You're missing something.."
    ;)
  2. emtff376

    emtff376 New Member

    Ahhh, traction splinting. We use the sager, hare, thomas and the KED brand of traction. Love them all for different reasons.

    Big thing to remember is that sager can be used for bilateral femurs and the hare isn't designed for it. Disadvantage of the sager is you have to know the person's approximate weight to apply appropriate traction (although every protocol here says "mech. traction equal to manual traction")

    Here's my mental check list for traction (for the hare)

    bsi/ss/etc.
    determine it is mid-shaft
    check CMS distal to the injury
    have someone take c-spine
    have someone manually stabilize above and below the injury
    apply ankle hitch
    apply manual traction until pt feels relief
    measure splint against good leg and adjust to fit
    lift injured leg and slide splint under leg
    apply ischial strap
    apply mechanical traction
    apply straps
    check CMS distal
    backboard them
    check CMS again
    transport

    that sounds right to me... (I did one friday, but using a different splint).
  3. FFEMT1764

    FFEMT1764 Devil's Advocate

    Location:
    The parched Upstate of SC
    EMS Training:
    EMT-Paramedic
    and dont forget that it must be a midshaft femur fx to use the hare...if its a femur head fx the hare is useless...i go with the inverted ked trck for femur heads and hips.
  4. Ridryder911

    Ridryder911 EMS Guru

    Tips for testing..

    maintain traction at all times... be sure to place ankle hitch prior to traction..(other wise positioning hands can be tricky

    be sure you have PLENTY of padding on the ischial bar...

    thigh strap is secure

    invert the straps so you can undo them more rapid and won't stick on carpet...


    After you are through.. don't forget to check stability of splint as well as PMS...

    God luck,
    R/R 911
  5. TTLWHKR

    TTLWHKR New Member

    Location:
    Colton Point, Pa
    EMS Training:
    EMT-Paramedic
    I have often used it to immobilize the tib/fib fractures, with out the use of traction.
  6. ffemt8978

    ffemt8978 Forum Vice-Principal Community Leader

    Location:
    Zip code EIEIO
    EMS Training:
    EMT-Intermediate
    The Sager is good, especially for bilateral femur fx's. The Hare is good for long transport time. But nothing beats the KTD for field work. Simple to use, fast to apply, and traction does not have to be maintained while applying (although it does make the patient feel better).
  7. Stevo

    Stevo Forum Asst. Chief

    Location:
    Vermont
    EMS Training:
    Student
    i'm ok with either

    anyone here ever use the Thompson 1/2 ring?

    oh and, just as an aside, watch what you jam up into a patients crotch, i know it's an uhmm minor point , but hey customer service is the whole game....

    ~S~
  8. MMiz

    MMiz I put the M in EMTLife Community Leader

    EMS Training:
    EMT-Basic
    One of my partners had the traction splint applied to her in EMT class. I'm sure you've all practiced on real people. Unfortunately they applied too much traction... they had to drive her to the hospital :unsure:
  9. TTLWHKR

    TTLWHKR New Member

    Location:
    Colton Point, Pa
    EMS Training:
    EMT-Paramedic
    Thomas Half Ring.

    Yes. My father has dozens of them, and probably every ambulance with in 50 miles of his house has a box of them too. :p
  10. SafetyPro2

    SafetyPro2 Forum Safety Officer

    Location:
    Santa Cruz, CA
    EMS Training:
    EMT-Basic
    We use the Sager on our rigs, but I train on the Hare when I do ARC classes, so I'm good with both.

    One tip that we were hammered on when I was in my EMT class was "Anchor, Anchor". In other words, make sure the two extreme ends are secured prior to securing the middle straps. Also, of course, make sure the middle straps are either side of the suspected fracture so that you're not putting one right across the wound.
  11. emtff376

    emtff376 New Member

    Stevo - I am most comfortable with the Thomas, since it was the first traction splint I learned. Next would be the Hare, then the sager.

    We have one of the KTDs. That's what I used on Friday. It is definitely quick and easy to apply.
  12. FFEMT1764

    FFEMT1764 Devil's Advocate

    Location:
    The parched Upstate of SC
    EMS Training:
    EMT-Paramedic
    we have the hare and the sager...but if we get a true femur fx we have to keep in mind what will fit in the helicopter....we DO NOT ground transport femur fx unless the weather is too bad for flight- pts dont like 45 minute ground times with a broken femur bleeding into the thigh...that whole if you run out of fluid the pump stops thing...
  13. fm_emt

    fm_emt Useless without caffeine

    Cool, thanks for the responses, guys. :-D
  14. FFEMT1764

    FFEMT1764 Devil's Advocate

    Location:
    The parched Upstate of SC
    EMS Training:
    EMT-Paramedic
    Glad to provide ya with the info!
  15. fm_emt

    fm_emt Useless without caffeine

    Yup. we do our NR practical testing stuff tonight. I think I have both the Sager and the Hare down pretty good. I'll let y'all know what happens when I'm finished. heh.
  16. podmedic@mac.com

    podmedic@mac.com New Member

    Location:
    Maryland, USA
    EMS Training:
    EMT-Paramedic
    Don't forget to make sure the partner holding traction is in a position they can hold for a while.:unsure:

    A trick that was showed to me a few years back was to take traction with your arms extended and then lean back to let your body weight maintain the traction and not your arm and shoulder muscles. This takes a bit of practice but will save you if you get a big patient with a relatively heavy leg.:rolleyes:
    Last edited by a moderator: Mar 23, 2006
  17. Stevo

    Stevo Forum Asst. Chief

    Location:
    Vermont
    EMS Training:
    Student
    we 'evolved' here to the Sager, emtff376, yet i've no clue as to a KTD

    anyone wanna help this dinosaur out ?

    ~S~
  18. ffemt8978

    ffemt8978 Forum Vice-Principal Community Leader

    Location:
    Zip code EIEIO
    EMS Training:
    EMT-Intermediate
    [FONT=Arial, Helvetica][SIZE=-1]The KTD can be applied by a single rescuer and folds down to fit into a 12”x6” pouch. The lower extremity traction system is made up of a folding snap-out aluminum pole, color-coded elastic leg straps, adjustable ankle hitch, and adjustable groin strap. This allows it to be sized to almost any patient, and doesn't require you to lift the leg to apply it. Very easy to use, and very compact storage (in a bag approx. 12" x 6").[/SIZE][/FONT]
  19. TTLWHKR

    TTLWHKR New Member

    Location:
    Colton Point, Pa
    EMS Training:
    EMT-Paramedic
  20. Jon

    Jon Administrator Community Leader

    Location:
    Southeastern PA
    EMS Training:
    EMT-Paramedic
    I spoke with an EP&R rep today.... costs less than $150!!!

Share This Page