Traction Splints in the prehospital setting

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I must agree with Mr. Black a traction splint such as the sager as been a
send in the numerous cases I have used them in, including the isolated femur
of a 5 year old female. I think anyone who doesn't place a traction splint
on a pt. prior to attempting to move or transport is being unessarily cruel
to the pt. ( unless lower extremity fx. are present). 

> -----Original Message-----
> From:	Black, John [SMTP:John.Black at orh.nhs.uk]
> Sent:	Friday, July 11, 2003 11:56 PM
> To:	'Trauma & Critical Care mailing list'
> Subject:	RE: Traction Splints in the prehospital setting
> 
> Eitan,
>  
> The earlier the traction splint is applied  the better for the reasons
> cited below. Assuming the pre-hospital providers are adequately trained,
> could you expand on why you would hesitate to apply such a splint in the
> field? In my view, it should be  'standard practice'.
>  
> John Black
> Oxford, UK
>  
> -----Original Message-----
> From: John Carrie [mailto:john at treblethree.org.uk] 
> Sent: 12 July 2003 01:34
> To: Trauma & Critical Care mailing list
> Subject: Re: Traction Splints in the prehospital setting
>  
> I'd have no hesitation in using the Traction Splint in this enviroment and
> with this injury. Wouldn't this also aid in reducing the amount of blood
> loss and pain?
>  
> John 
> 	----- Original Message ----- 
> 	From: Eitan Melamed <mailto:eitanme2000 at yahoo.com> 
> 	To: Trauma & Critical Care mailing list
> <mailto:trauma-list at trauma.org> 
> 	Sent: Tuesday, July 08, 2003 5:21 PM
> 	Subject: Traction Splints in the prehospital setting
> 	 
> 	A 20 y.o. with an isolated mid-shaft femur fracture, 45 minutes from
> a trauma center.  
> 	1- Would you consider traction splint application or, in view of the
> commonly cited contraindications, a long spine board will suffice?
> 	2- A question for Ken Mattox- Is hypotensive resus. appropriate in
> this case?(since the bleedind is self-limited)
> 	Thanks, Eitan
> 
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