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Wed, 2 Oct 2002 10:16:17 -0400

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Mark,

What exactly is the nature of your review?  

In my experience, effective splinting cannot be predicted nor assured by
splint selection.  I've seen expensive commercial splints used in wholly
alarming ways, while wonderful improvisations are frequently fashioned out
of sticks, towels, magazines, and bags of frozen foods.

If it's a product endorsement you're after, I doubt you'll find consensus
here--although I imagine that most of us would agree that less is more, and
that if splints are stressing your budget, you're placing too much faith in
vendors, and not enough on technique.

If this is a performance improvement exercise, I'd look for documentation of
effective immobilization, conscientious assessment of distal CSM's, and
attention to control of pain and swelling.

Doubt I've helped; but good luck with your project.

Pret Bjorn
Trauma Coordinator
EMMC Trauma Program
489 State Street
Bangor, ME 04401

207.973.7260 (office)
207.973.7673 (fax)
207.941.5085 (voice pager)

-----Original Message-----
From: MarkCFitz@aol.com [mailto:MarkCFitz@aol.com]
Sent: Wednesday, October 02, 2002 1:05 AM
To: trauma-list@trauma.org
Cc: m.fitzgerald@alfred.org.au
Subject: Splinting Devices

Dear List members,

I am conducting a review of pre-hospital, lower limb splinting devices on
behalf of Rural Ambulance Victoria.  I would welcome any
information/opinions from those with an interest as part of this review.

Best wishes,

Mark Fitzgerald
Director of Emergency Services
The Alfred
Melbourne
Australia 

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<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=400263413-02102002>Mark,</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN class=400263413-02102002>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=400263413-02102002></SPAN></FONT>&nbsp;</DIV>
<DIV><SPAN class=400263413-02102002></SPAN><FONT color=#800000 face=Arial 
size=2><SPAN class=400263413-02102002>What exactly is the nature of your 
review?&nbsp; </SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=400263413-02102002></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=400263413-02102002></SPAN></FONT></SPAN></FONT><FONT color=#800000 
face=Arial size=2><SPAN class=400263413-02102002>In my experience, effective 
splinting cannot be predicted nor assured by splint selection.&nbsp; I've seen 
expensive commercial splints used in wholly alarming ways, while wonderful 
improvisations are frequently fashioned out of sticks, towels, magazines, and 
bags of frozen foods.</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=400263413-02102002></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN class=400263413-02102002>If 
it's a product endorsement you're after, I doubt you'll find consensus 
here--although I imagine that most of us would agree that less is more, and that 
if splints are stressing your budget, you're placing too much faith in vendors, 
and not enough on technique.</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=400263413-02102002></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN class=400263413-02102002>If 
this is a performance improvement exercise, I'd look for documentation of 
effective immobilization, conscientious assessment of distal CSM's, and 
attention to control of pain and swelling.</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=400263413-02102002></SPAN></FONT>&nbsp;</DIV>
<DIV><SPAN class=400263413-02102002></SPAN><FONT size=2><FONT 
color=#800000><FONT face=Arial>D<SPAN class=400263413-02102002>oubt I've helped; 
but good luck with your project.</SPAN></FONT></FONT></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=400263413-02102002></SPAN></FONT>&nbsp;</DIV></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN class=400263413-02102002>
<DIV><FONT color=#800000 face=Arial size=2>
<DIV><FONT color=#800000 face=Arial size=2><SPAN class=030133519-19052000>Pret 
Bjorn</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN class=030133519-19052000>Trauma 
Coordinator</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN class=030133519-19052000>EMMC 
Trauma Program</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN class=030133519-19052000>489 
State Street</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=030133519-19052000>Bangor, ME 04401</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=030133519-19052000></SPAN></FONT>&nbsp;</DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=030133519-19052000>207.973.7260 (office)</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=030133519-19052000>207.973.7673 (fax)</SPAN></FONT></DIV>
<DIV><FONT color=#800000 face=Arial size=2><SPAN 
class=030133519-19052000>207.941.5085 (voice 
pager)</SPAN></FONT></DIV></FONT></DIV></SPAN></FONT></DIV>
<BLOCKQUOTE>
  <DIV align=left class=OutlookMessageHeader dir=ltr><FONT face=Tahoma 
  size=2>-----Original Message-----<BR><B>From:</B> MarkCFitz@aol.com 
  [mailto:MarkCFitz@aol.com]<BR><B>Sent:</B> Wednesday, October 02, 2002 1:05 
  AM<BR><B>To:</B> trauma-list@trauma.org<BR><B>Cc:</B> 
  m.fitzgerald@alfred.org.au<BR><B>Subject:</B> Splinting 
  Devices<BR><BR></DIV></FONT><FONT face=arial,helvetica><FONT face=Arial lang=0 
  size=2 FAMILY="SANSSERIF">Dear List members,<BR><BR>I am conducting a review 
  of pre-hospital, lower limb splinting devices on behalf of Rural Ambulance 
  Victoria.&nbsp; I would welcome any information/opinions from those with an 
  interest as part of this review.<BR><BR>Best wishes,<BR><BR>Mark 
  Fitzgerald<BR>Director of Emergency Services<BR>The 
  Alfred<BR>Melbourne<BR>Australia</FONT> </FONT></BLOCKQUOTE></BODY></HTML>

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