1. SPLINTING

2. MLREMS Collaborative Protocols
(Online PDF Version)
App
Let’s make sure everyone is on the same page for the Protocols

3. These are the protocols we practice in the field in this region- Monroe/Livingston Regional EMS Council

4. NYS Protocols are for EMT class- this is what is tested on the state exam, it is not region specific
PLEASE STUDY THIS VERSION IF YOU ARE TAKING THE EMT CLASS NOW
- Bruce has not handed them out, but read them every day when you get them

5. What is the Main Purpose of Splinting?
Immobilize an injury and prevent further damage (while minimizing pain)
MAKE THE PATIENT COMFORTABLE
Also keep in mind that actual patients may not be able to move their injured extremity to a position that is convenient for splinting

6. Traction Splinting- KTD https://www.youtube.com/watch?v=QIxzroh2rhw
Manual stabilization
CMS
Ankle strap
Ischial strap
Measure tent pole and fold into ischial strap
Put on the knee strap
Hook the ankle strap to the tent pole connecter
Pull mechanical traction
Attach thigh and shin strap
Recheck CMS
Transport on the backboard

7. Traction Splinting - Hare
Picture- makeshift ankle strap with Cravats
We only have the hare: skinny straps, do not put them directly on the break or on the knee:
Order
Manual stabilization
CMS
Measure traction splint on non-injured leg and adjust it
Ankle Strap
Manual Traction and switch to partner who was holding stabilization
Slide the splint under the leg as far up to the edge of the buttocks as possible
Ischial Strap
Connect ankle strap to hook on traction splint
Pull mechanical traction: pull until the tension is equal
Straps on
Check straps are tight
Recheck CMS
Transport on a backboard by securing splint and pt to backboard

8. Long Bone – Radius/Ulna
Hand rest
Can also be done with one board: similar to wrist splinting which you will see in a minute
Pt. comfort

9. Long Bone – Tib/Fib Secure the foot with an ankle strap
Trick with stepping on cravats to tighten them the most

10. Joint – Elbow Do not let anything touch the elbow directly
Make sure to attach the cravat to the boards AND the pt’s arm

11. Joint- Knee
Make sure to apply the cravats around the pt’s leg AND the boards for the 2 middle straps. Then put the other two either surrounding the leg and the board, or just the boards --> tighter this way

12. Wrist with SAM Splint Joint- Shoulder
Shoulder should be raised  you will most likely find them in this position
SAM splints can be folded and molded to the position you need; we do have bigger SAM splints, but they are not always as secure as short boards- use caution. Tiny ones are good for wrists

13. Break Into Groups and Practice
Annie Y
Chris O
Ethan N
Rachel W
Eric C
Ryan L
Laura S
Group 2
Shelby S
Matt E
Ben O
Jenna B
Taylor M
Aric H
Noah M
Group 3
Alexis T
Swarnima D
Ian C
Sam D
Maggie D
Trisha M
Haley S
Group 4
Vivian Y
Corey S
Thomas A
Sabrina S
Jack B
Stephen Y
Jillian T
Group 5
George Z
Will B
Evelyn W
Chris W
Daisy G
Brooke D
Group 6
Megan S
Oriana D
Garret F
Jacob W
Adam H
Anderson V
Colin W
Group 7
Amelia S
Tim B
Wady J
Molly O
David L
Danielle M 