1. Emergency Splinting & Bandaging and Taping Techniques
Chapter 7, pp
Chapter 11, pp

2. Immediate Treatment of Orthopedic Injury
One primary goal
Reduction of swelling
PRICE
Protection
Rest
Ice
Compression
Elevation

3. Cold Application Decreases pain Produces vasoconstriction
Controls hemorrhage and edema
Decreases local cell metabolism
Decreases tissues’ need for oxygen
Reduces hypoxia
Sensations- Cold, burning, aching, numb

4. Emergency Splinting Two vital principles
Splint from one joint above the fracture to one joint below the fracture
Splint the injury in the position it is found

5. Splints Vacuum splints Air splints
Styrofoam chips contained inside an airtight cloth, pliable sleeve
Molds to shape of injury using a handheld pump to draw out the air from within the sleeve
Air splints
Extremity splinting
Provides clear view of injury during x-ray

6. Splinting Lower limb Upper limb
Fractures of knee, thigh, and hip require splinting of all limbs
Upper limb
Shoulder injuries are splinted in a sling
Elbow injuries must be splinted in the position found
Wrist injuries must be splinted in forearm flexion and should include a sling
Fingers splinted with aluminum splints

7. Splinting

8. Bandaging and Taping
Provides compression to minimize swelling in the initial management of injury
Reduces the chances of injury by applying tape prophylactically
Provides additional support to an injured structure

9. Elastic Bandages Most often used for compression for injuries
Can be used to secure dressing for a wound
Can also be used for cold application
Can provide support to injured tissues

10. Technique for application
Always begin distally and move proximally
Wrap the body part in the position of maximum muscle contraction to ensure unhampered movement and circulation
Use a larger number of turns with moderate tension than a limited number of turns and tighter
Each turn of the bandage should be overlapped by at least one half to prevent separation of the material (can pinch and irritate skin)

11. Adhesive Taping Common techniques Arch Great Toe Toes
Ankle- CLOSED BASKET WEAVE
Achilles Tendon
Knee
Elbow
Wrist
Thumb
Fingers