Curious were the National standard guidelines are located? It is a common standard of care practice to immobilize open and closed fractures of the femur based on current PHTLS and ITLS guidelines.Correct. Protocols will vary, but national standard is NO traction on an open fracture.
Generally speaking, unless you have a traction splint device of some sort, you aren't going to be easily able to pull traction on a broken femur... Also given that there are several kinds of traction devices, I suspect the NREMT and several states likely aren't specifying a very specific type of device and only care that you're applying the device correctly.In most states and the NREMT it is contraindicated unless you have an air traction splint.
I'm going to assume you meant HARE traction splint right? Because there is also the Kendrick Traction Splint. a traction splint is often a required item on an ambulance, so you should have one.In most states and the NREMT it is contraindicated unless you have an air traction splint.