Splint, Sling, and Swathe
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What are the preparation steps for applying a splint?
- Assess scene safety
- Evaluate additional BSI needs
- Determine if patient sustained a possible spinal injury - institute spinal immobilization if needed
- Stabilize and expose the injured extremity
- Cover wound and secure in place if needed
- Determine if splint should be applied - rapid transport if patient is critical
- Select proper splint
- Prepare and pad the splint
What is CSM?
What are the procedures for applying a splint?
- Support the fracture site and maintain manual immobilization - insert a roller bandage into the palm
- Lift the extremity
- Slide the splint under
- Lower the extremity to the splint
- Secure the splint
- Reassess CSM
Where should a fracture be immobilized?
above and below the fracture
Where should a joint injury be immobilized?
the bones above and below the joint
What two things should be considered if swelling is present?
- remove jewelry
- consider ice packs
For upper extremities, ____ slightly above the heart. For lower extremities, ____ approximately 6" to minimize swelling.
Be sure to place, ____ inside the splint to eliminate spaces.
There are two instances when you splint in the position found:
- resistance or extreme pain
What are the indications for a sling and swathe?
fracture of humerus and/or clavicle
What are the four steps in preparing a sling and swathe?
- Explain procedure to patient
- Instruct patient to support arm
What should be done about the knot around the patient's neck?
What should be done after application of the sling and swathe?
What would you like to do?
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