Immobilisation of fractures and dislocations with an appropriate splint to reduce pain and further damage to surrounding structures.
Rigid Splinting
This formable splint is made of foam covered aluminium and can be shaped to support most long bone fractures. Whilst it is flexible when flat, by changing its shape to a channel (C-Curve), it becomes rigid and supportive. It is easy to apply in various situations, the basics of which will be covered in this instruction. It can be cut down to any desired length.
Contraindications
Contraindications
Patient Factors & Considerations
Adjust bandages if circulation is compromised.
Consider mechanism of injury and spinal.
Consider using a pillow to apply additional support to the injured limb.
Immobilise dislocated joints in position found.
Transport gently.
Procedure
Principles
Dress open fractures and wounds.
Assess distal neurovascular observations:
Pulse & Capillary Refill
Colour
Warmth
Movement
Sensation
Pad natural hollows, deformities and bony prominences to maintain normal alignment.
Apply broad bandages or similar around the limb securing above and below injury site.
Tie off over unaffected limb.
Re-assess distal neurovascular observations.
Preparation
All relevant infection control methods to be utilised.
Prepare equipment required:
Broad bandages
Gauze
Formable splint (if required, for rigid splinting)
Triangular bandage (if required, for slinging and/or soft splinting)
Pillow (if required, for soft splinting)
Tape or safety pin
Explain the procedure to the patient.
Consider appropriate analgesia.
Carefully cut away any clothing on the affected limb and remove gloves/footwear.
Triangular Bandage Sling
Place the point of the triangular bandage behind the injured elbow (1) and one end over the uninjured shoulder.
Slip the other end of the bandage under the arm and over the shoulder (2), cradling the arm.
Tie the ends of the bandage behind the neck. Fasten the edge of the bandage, near the elbow, with a safety pin, tape or knot (3).
Rigid Splinting
Follow preparation and principles as listed above.
Unpack the splint, flattening it out.
Measure up and create the required curvature against the uninjured limb (where possible).
Maintain support and gentle traction of injured limb when placing splint underneath.
Apply broad bandages or similar around the limb securing above and below injury site.
Elevate the injured limb.
Re-assess distal neurovascular observations.
Volar Wrist or Radius/Ulna fracture
Ankle Stirrup
Long Leg
Soft Splinting
Follow preparation and principles as listed above.
Mould pillow carefully around the foot and ankle allowing access to the toes and pedal pulse.
Secure pillow with bandages in a position of comfort.