Further, 9.4% of casualties in the current conflict who were wounded in the lower extremity had an associated pelvic injury. Other devices have cumbersome assembly that can waste precious time. Replacement Pole Assembly for the Optimum Traction Device (OTD) Street Orange, The Slishman Traction Splint (STS) boasts a red toggle at the end of the shorter traction cord for better grip. Objective data are displayed in Table 3. Conventional. Four traction splints are in use to some degree and have been awarded NATO Stock Numbers: the CT-6 Leg Splint (FareTec, Painesville, OH; http://www.faretec.com/CT-EMS-traction-splint.html), a component of Army Medical Equipment Set (MES) Combat Medic; the Kendrick Traction Device (KTD, Kendrick EMS, Mooresville, NC; http://www.kendrick ems.com/), formerly part of the MESGround Ambulance and Special Forces Tactical; the REEL Splint (RS, Reel Research and Development, Ben Lomond, CA; http://splints.webs.com/), a component of the MES Tactical Combat Medical Care, as well as Special Forces Tactical, Civil Affairs Treatment, Ground and Air Ambulance, Forward Surgical Team, and Combat Support Hospital sets; and the Slishman Traction Splint (STS, Rescue Essentials, Salida, CO;https://www.rescue-essentials.com/slishman-traction-splint-1/), awarded a NATO Stock Number but not currently part of an MES. More recently, the utility of traction splints in civilian emergency medical services (EMS) with short transport times has been questioned. It can be used on patients with lower leg amputations and can be applied bilaterally. Against the backdrop of controversy over the necessity of prehospital traction splinting as a general principle, the Department of Defenses selection of traction splints for field use has not been previously based on rigorous scientific review. Participants had a very negative outlook on the RS. 2. The primary field treatment at the time was the Liston splint, a wooden board device in use with the British for almost a century by that time. No risk of striking the splint resulting in further injury or pain to the patient * Rapid Patient Application in Under 60 Seconds-The unique design of the STS makes it the fastest splint to apply. Further, 9.4% of casualties in the current conflict who were wounded in the lower extremity had an associated pelvic injury.6. Comparisons of mean values between corresponding questions from the four sections of the post-skills survey were performed using matched-pairs Students, the RS (361.3 seconds). We had a great conversation on the idea/concept of this splint, who to apply it on, and some additional questions, which we plan on having him back on to discuss. The compact design of the STS won't jam up against ambulance doors or prevent you from placing patients into aircraft. The Coast Guard authorizes the KTD, RS, or Hare Traction Splint to be selected by individual unit preference.9 The Navy currently includes the RS in the Authorized Medical Allowance List (AMAL)-636 Battalion Aid Station and had in the past listed the KTD as an intended component of the AMAL-653 Corpsman Assault Pack.10 The Air Force commonly uses the Hare or RS but also includes, 9.5 3.5 storage pouch. Only one participant reported previous awareness of the STSs existence. Thomas nephew and former apprentice, Sir Robert Jones, became consultant orthopedic surgeon to the British Army in 1914. The innovative STS design has the traction mechanism positioned at the patient's hip. I would prefer if all the parts came attached to prevent loss; This splint is not very durable and feels like it would break under heavy movement and usage; The colored pull tabs and straps make remembering the steps easy, but the splint does not seem to be durable enough for a combat setting., Quotes on the RS included: This splint does an outstanding job with traction and immobilization. It is interesting to note that these beliefs changed from the initial survey where the most common selection for free-response in these categories was the CT-6. A review of the Joint Theater Trauma Registry indicated that approximately 2% of those wounded in combat in Iraq and Afghanistan from October 2001 through January 2005 sustained a femoral fracture. Obviously, in a complicated trauma patient with a short transport time, care providers should focus on immediate life threats with the critical TCCC interventions like tourniquets and cricothyrotomy. Of the splints tested, the RS is the heaviest and bulkiest device. However, as the military, and its Special Operations Forces in particular, adapts to fighting in a less-developed operational environment, the concept of Prolonged Field Care has surfaced. The authors of that report attributed this late-appearing difference in pain control to increasing contraction of the thigh muscles that was overcome with the application of traction but left unabated in those assigned to simple splints alone. Make the Slishman Pressure Wrap part of your EDC. Traction Splint, Leg Straps (4) Pediatric, Set. * Improved Groin and Ankle Straps * The I.T.D. (Wrap may also be used to limit bleeding as with any elastic pressure bandage) Slishman Traction Splint - Compact (STS-C) INSTRUCTIONS FOR USE 2. Rowlands TK, Clasper J. No poles to assemble or mechanisms to set up. The STS can stay on a patient all the way to surgery The STS embodies significant improvements to traction splinting: * No extension past the foot * Quickly adjusts to patient * Easily applied during manual traction * Not contraindicated for lower leg injury or amputation * Light and compact * One size fits all Specifications: * Weight: 21 ounces (595 grams) in the case * Carrying Case Dimensions: 22in x 3in x 3in (56cm x 7.6cm x 7.6cm) * Telescoping poles are made of light weight, high tensile strength 6061 aluminum. Notably, Royal Army Medical Corps surgeons with the 202 Field Hospital reported successful use of the Thomas splint for treatment of seven casualties with femoral fractures in the first week of Operation Iraqi Freedom and strongly advocated for continued use.31 While much of the data from World War I are almost 100 years old, the benefit of traction splinting for battlefield femoral fracture remains unequivocal. Slishman Traction Splint - Compact Features: Radiolucent One size fits all, from small children to large adults Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market Single connected deviceno loose parts, which may get lost Can be applied in under a minute with minimal training Participants rated the RS least of all four splints for ease of use and suitability for dismounted carry. * Zero extension beyond patients foot * Larger carbon tubing * Compact, light weight design * Simplified design, ultra easy to use * Application: goes on in 30 seconds. Mihalko WM, Rohrbacher B, McGrath B. I purchased more to be more available to our instructors. The old dart becomes extremely brittle at high or low temperatures and fails. Bledsoe B, Barnes D. Traction splint: an EMS relic? The Slishman Traction Splint weighs 1 pound 5 ounces or 600 grams. It is also expected that realignment of the fracture will decrease the incidence of fat embolism. Quickly adjusts to patient. The STS applies traction from the hip and is. the "Slishman Pressure Wrap" label to the black fabric or use the provided safety pin. Most STS failures were accompanied by failures on at least one other device. Sign up to hear about new product launches, deals, events, CEUs and other educational resources. Twenty-one Army Health Care Specialists (Military. 4. No poles to assemble or mechanisms to set up. With failing times removed, the average student still applied the STS the fastest (225.3 seconds), followed by the KTD (258.7 seconds), then the CT-6 (301.3 seconds) and finally the RS (351.9 seconds). One or more straps may be provided for securing the traction splint to the patient. Insist on the optimum traction device.EP-800, The Curaplex Traction Splint effectively realigns a fractured femur to proper position, reducing pain, restoring profusion and inhibiting vascular, nerve, bone and muscle damage. Its use is contraindicated with associated pelvic fracture, a limitation not found with the other three splints but noted in up to 38% of civilian multisystems trauma patients. Characterization of extremity wounds in Operation Iraqi Freedom and Operation Enduring Freedom. Femur traction is applied through the extension of the pole segments creating a pushing force on the ankle strap instead of pulling distally from the foot. In a low-volume urban EMS system in Illinois, only five of 4513 (0.11%) patients seen in 1 year presented with injuries suspicious to field personnel for femoral fracture. All prices are in USD 2022 Rescue Essentials Sitemap Powered by Bigcommerce, Decrease Quantity of Slishman Traction Splint (STS), Increase Quantity of Slishman Traction Splint (STS). Bellamy RF. Check out the STS-Compact >>. As with many other procedures, such as cricothyrotomy and tourniquets, the priority is different on the battlefield than in the civilian sector. EMS, hospital ER) Yes = 1, No = 0, Have you performed traction splinting on a live patient? An open fracture may be less amenable to hemorrhage control with a tourniquet due to multiple wound fragments and impaired ability to compress vessels. Irajpour A, Kaji NS, Nazari F, et al. CDR William Quillen, USN (Ret) and Col John Curran, USAFR (Ret) are a continuing inspiration to us and all our colleagues at USF College of Medicine. Further study of all aspects of battlefield femoral traction splinting is warranted with greater attention paid to this skill in initial and sustainment training. Describe a product, share announcements, or welcome customers to your store. Conclusions: The STS had the best objective performance during testing and the highest subjective evaluation by participants. 4. Notably, Royal Army Medical Corps surgeons with the 202 Field Hospital reported successful use of the Thomas splint for treatment of seven casualties with femoral fractures in the first week of Operation Iraqi Freedom and strongly advocated for continued use. Of all the splints tested, the average application time for the STS was the fastest (242.1 seconds), followed by the KTD (265.9 seconds), the CT-6 (314.6 seconds), and, Total months you have served deployed to the AOR, Have you treated a casualty on the battlefield? A traction splint for attachment to a person's leg for example and having an elongate U-shape frame. A second survey was conducted after students had received instruction and placed all devices on the manikin without assistance in timed trials. 4. Femur traction is applied through the extension of the pole segments creating a pushing force on the ankle strap instead of pulling distally from the foot. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. This device was considered easy to apply, and its effect is comparable to rigid splinting methods used today. Its use is contraindicated with associated pelvic fracture, a limitation not found with the other three splints but noted in up to 38% of civilian multisystems trauma patients. The primary contraindication listed was an associated pelvic fracture, not a concern with unipolar splints (CT-6, KTD, or STS) which do not rely on an intact pelvic ring to function.A descriptive article attempted to popularize the position that traction splints in civilian EMS were a little-used relic that should be removed from civilian ambulances. Seventy-seven percent of fractures were caused by low-velocity trauma such as household falls, predominantly in an elderly population.22, A retrospective review of 40 multisystem trauma patients transported by a helicopter EMS program in Massachusetts found that 38% of traction splints had been applied to patients with contraindications to Hare-type splints.23 The primary contraindication listed was an associated pelvic fracture, not a concern with unipolar splints (CT-6, KTD, or STS) which do not rely on an intact pelvic ring to function.A descriptive article attempted to popularize the position that traction splints in civilian EMS were a little-used relic that should be removed from civilian ambulances. However, as the military, and its Special Operations Forces in particular, adapts to fighting in a less-developed operational environment, the concept of Prolonged Field Care has surfaced.28 No longer may first responders expect immediate evacuation of the wounded to surgical care within the Golden Hour. Combat medics and corpsmen may be required to manage the critically injured for indefinite periods, much like their counterparts in Americas previous wars. Rangeen Chandran 2. The STS had significantly more failures than the KTD (p = .044) and CT-6 (p = .024) but not the RS. Aug. 15, 2022. No longer may first responders expect immediate evacuation of the wounded to surgical care within the Golden Hour. Combat medics and corpsmen may be required to manage the critically injured for indefinite periods, much like their counterparts in Americas previous wars. The purpose of this study is to determine the differences between the four commercially available devices sold to the U.S. Government. Daugherty MC, Mehlman CT, Moody S. Significant rate of misuse of the Hare traction splint for children with femoral shaft fractures. Use this text to share information about your brand with your customers. See Table 1 for a summary of splint specifications. Which traction splint do you believe is best designed for dismounted carry? * Improved Buckles * The I.T.D. Splint and tractions 1. They are also available in both Aluminum Ratchet and Injection Molded configurations. The aluminum ratchet also has a micro adjustment so that the proper amount of tension can always be generated.Pediatric model (QD-3): ext length 45 inch, closed length 29 inch, width 6 1/2 inch, weight 6 lbs.Adult/Pediatric model (QD-4): ext length 54 inch, closed length 32 inch, width 9 inch, weight 7 lbs. NSN# 6515-01-631-3182NATO Stock Number: 6515-32-083-5266. Apply the traction splint Rescuer #1 slides the traction splint under the patients injured leg, as rescuer #2 elevates the leg and continues manual traction via the ankle hitch. This concern is almost nonexistent in the civilian setting, where transport to a waiting ambulance mere feet away is the most likely scenario. Coarse positioning is accomplished using a spring button to extend and lock the outer tube. Looking for replacement parts? Henry BJ, Vrahas MS. You can easily and quickly adjust traction for maximum patient comfort. Yes = 1, No = 0. Glenn Hare, a Los Angeles policeman and ambulance attendant, developed the familiar Hare traction splint in 1969 by adding a ratchet mechanism to a Thomas splint. The first unipolar traction splint, the KTD, was first introduced in 1986. Traction splints are large/bulky and can hinder packaging/evacuating a patient. Femur fracture immobilization with traction splints in multisystem trauma patients. Lightweight and Compact While it is certain that the Thomas splint played a large role in saving lives, it must be noted the introduction of motorized ambulances, casualty clearing stations, and other concurrent advances cloud the effect. The Thomas splint. The REEL Splint is, by doctrine at least, the most widely used traction splint within the Armed Services, authorized for use by the Army, Navy, Air Force, and Coast Guard. * Rugged design and construction make this splint an ideal choice for tough field application under all conditions * Carbon fiber technology produces a strong and light splint that will not stick to gloved hands in cold weather * Modern construction techniques produce a splint that is lighter than most other splints, yet it is stronger and more impact resistant * Modular construction allows for a full range of fit, from pediatric to adult patients * Compact: Unit fits in small synch bag, 11in x 4in x 3in * Strong: Carbon fiber poles and injection molded plastics * Effective: Four to one pulley system for efficient, easily adjustable traction * One unit fits both adult and pediatric patients FACT-6, The Improved Traction Device is the first product innovation in single-pole traction devices in over 25 years. The Slishman Traction Splint STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the operational difficulties of older traction splint designs. apples that start with h hard anodized vs stainless steel vs ceramic contraindications for traction splint February 4, 2022 in propet madi women's waterproof winter boots by Great stuff from a great company. [5] [6] [7] Contraindications Fractures of ankle or foot The research team for this project would like to acknowledge Simulaids for the loaned use of the Traction Splint Trainer manikin. It did not examine time to application or provider preferences. SLISHMAN TRACTION SPLINT Manufactured by Tri-Tech Forensics, Inc. dba Rescue Essentials under U.S. the KTD as part of the Expeditionary Medical Support (EMEDS) system. Designed to be carriedin a trauma box, jump bag or first aid kit, this device is especially practical for wilderness rescue, ski patrols, SWAT medics and military field medics. Features and Benefits: Radiolucent; One size fits all, from small children to large adults; Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market Lack of familiarity is coupled to the overall high rate of splint failures among participants, showing generalized poor traction splinting skills even with devices for which they reported long-standing experience. Application possible even in cases of lower . Nonbattle-related injuries such as motor vehicle accidents and falls may also result in femoral fractures. contraindications for traction splint. They are not adjustable in length, but do come in both Pediatric and Adult Sizes. Agrawal Y, Karwa J, Shah N, Clayson A. Traction splint: to use or not to use. Ships from and sold by Emergency Medical Products, Inc.. FREE Shipping. The splint may have two to three telescoping members that nest inside one another when not in use, and may be triangular, rectangular, or circular in cross section. No need to remove the splint. This splint weighs less than the competition while at the same time is stronger and more impact resistant. Times on each device were compared using a one-way ANOVA with 158 degrees of freedom (df) within groups and 3 df between groups. Little standardization of equipment and training exists for traction splinting in the U.S. Armed Forces. 3. On the modern battlefield, TCCC interventions focusing on the predominant causes of battlefield preventable mortalityairway obstruction, external hemorrhage, and tension pneumothoraxhave saved numerous lives. Extremely compact and lightweight, the new STS-C is designed for situations where medical equipment must be packed into difficult or remote locations. Each participants time in seconds, traction in pounds, and confidence responses were recorded. utilizes only Nexus for its buckles. However, the risk for further injury in a casualty carried a long distance by litter through rough terrain to an evacuation vehicle is just as real today as it was on the battlefields of France in 1917. Because you control all traction at the hip, you can easily make adjustments as conditions change or in route to the hospital. Aggregated results of the initial survey showed that participants self-reported the most training experience with the RS and the most patient experience with the KTD. No long transport delays. No need to carry two different splints. The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other femoral traction splints. With the Sager, however, instead of worrying about your patient's os coxae and glutes not holding down the splint, you're concerned about a bump in the road shifting the articulating base . Their metal rods provide support for the lower half of the body. This innovative design change provides a number of outstanding benefits over conventional traction splints: 1. It must also be noted the STS had 15 failures, which is statistically significant compared to 10 for CT-6 and 11 for KTD. The authors of an Australian retrospective study of 95 pediatric patients with isolated femoral fracture came to similar conclusions regarding the short-term benefit of traction splinting on pain control. Yes = 1, No = 0, Have you performed traction splinting on a combat casualty? Death on the battlefield (20012011): implications for the future of combat casualty care. If traction adjustment is needed while enroute, the STS traction adjustment is accessible at the patient as hip, not jammed up against the door or airframe at the. Shop EMP today! Traction is hypothesized to reduce hemorrhage in a closed fracture by creating a smaller elliptical area surrounding the fracture site, which would hold less blood than the roughly spherical area expected before traction. Participants had a very negative outlook on the RS. How many times have you conducted training on traction splinting? Wiegert RS, Soliza JR, Almonte JM, et al. Of the remaining three splints, the STS had the fastest average application time, both overall and with all splint failures removed. Radiolucent -The STS is radiolucent and will not interfere with patient imaging or exam. Abstract: Portable traction splints for applying traction to an injured patient's limb may be extendable from a collapsed configuration adapted for transportation and storage towards an extended configuration adapted for applying traction to the injured patient, using telescoping members. The Thomas splint was invented by Welsh physician and bone-setter Hugh Owen Thomas in 1875 for the treatment of tuberculosis of the knee. 5. 3. Participant confidence and preferences were assessed by using Likert-scaled surveys. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. Applies proximal to calf when lower extremity trauma is present. So many femoral fractures were encountered by the Allies during the war that a special hospital in Bastogne was dedicated to femoral fractures. Objective: The purpose of this study was to determine the differences between the four commercially available traction devices sold to the U.S. Government. Apply neoprene outer tube . Which traction splint do you believe most effectively treats a suspected femoral fracture if properly applied? Sorry, looks like we don't have enough of this product. With failures removed, average traction force applied in pounds was within the target range (10% of patients weight) without significant difference across all four splints (CT-6 16.1 lb, KTD 15.7 lb, RS 15.0 lb, and STS 14.88 lb). Improvements * No longer extends beyond the patients foot * Simplified layout; no lines, less velcro, one piece ankle hitch, ischial strap and just 1 or 2 legs straps * More compact & lighter than the ct-6/any traction splint on the market * Increased diameter of carbon tubing * Applies to patient in under 30 seconds * Easier to repack, uses new tactical bag, Replacement Strap, Ankle, Pediatric, For Hare Traction Splint1/EA. MSRP $180. 28 October 2013. https://. Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market Single connected deviceno loose parts, which may get lost Can be applied in under a minute with minimal training Application possible even in cases of lower leg/foot amputation Includes the Slishman Pressure Wrap to assist with rotational stability The Fernotrac is simple to use and comes with a ankle hitch, support straps and carrying case. * Corrosion and shock resistant. The STS had the best objective performance during testing and highest subjective evaluation by participants. Have you encountered a patient with suspected femoral fracture in another setting? Orders will begin shipping on Tuesday, November 29th. was made with a special contouring material in both the groin and ankle strap areas to bring much needed comfort to the patient. The CT-7 splint has been SIMPLIFIED by removing straps, velcro and all loose ends. Subscribe to our newsletter to receive special deals and discounts! Over 5000 femoral fracture casualties were treated in the last 9 months of the war by the British Army alone.16 In 1916, famed British military surgeon Colonel Sir Henry Gray calculated the mortality rate of femoral fracture as roughly 80%. Features: * Acme screw traction technology super precise, strong and accurate. * Improved Ankle Hitch * The ankle hitch is designed to bring added comfort to the patient by preventing unnecessary movement of the leg through the use of a detachable stirrup. The causes of death in conventional land warfare: implications for combat casualty care research. Estimates of femoral fracture incidence as comprising 1.7% of wounded, a proportion similar to today, do not convey scale when those casualty counts were routinely measured in tens of thousands. While rigid splinting alone may be adequate in the short-term of civilian EMS or even be extrapolated to the current medical evacuation system, this conclusion does not carry over to when battlefield casualties may be delayed transport to definitive care for many hours or days. Traction stabilization helps prevent movement of the jagged fractured bone ends, thereby minimizing soft tissue damage, decreasing the risk of vascular injury, and preventing the conversion of a closed to an open fracture. Yes = 1, No = 0. NOTE: If the Sagar splint or the Kendricks Traction Device is used without elevating the patient's leg, application of manual traction is not necessary. * Aluminum is barely visible on X-ray. Interested in our award-winning Slishman Traction Splints? Each participants time in seconds, traction in pounds, and confidence responses were recorded. Buy SLISHMAN Traction Splint (STS) by Rescue Essentials: Traction Equipment - Amazon.com FREE DELIVERY possible on eligible purchases This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. 4. The traction splint should be adjusted to 12 inches longer than the non-injured leg. Eighty-six percent of these fractures were open with accompanying soft tissue injury. A review of 115 children seen in a pediatric trauma center with a Hare splint applied in the prehospital setting noted that 66% were misapplied when viewed on radiography. 3. Relative contraindications to the use of traction splints include hip dislocation, fracture-dislocation of the knee, and concomitant ankle injury. In stock. Four step application process in rapid and easy * The STS is not contraindicated in lower leg injury or Amputation while other traction splints are contraindicated with lower leg injury or amputation, the STSs unique design allows the ankle strap to be alternately positioned proximal to the calf. Traction Mechanism Accessible During Transport -If traction adjustment is needed while enroute, the STS traction adjustment is accessible at the patients hip, not jammed up against the door or airframe at thepatient's foot. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. Femoral traction splinting is an essential battlefield skill that has decreased in recent popularity within the civilian EMS community. However, size, weight, and the requirement to have assistance with application remove its relevance from the battlefield; This is too bulky and heavy. If your agency requires you to carry two traction splints, two STS splints can be carried for bi-lateral splinting of peds and adults.6. Sign Up for Rescue Essentials News, Sales, and Deals (We will not share your info with anyone. Against the backdrop of controversy over the necessity of prehospital traction splinting as a general principle, the Department of Defenses selection of traction splints for field use has not been previously based on rigorous scientific review. Times of students failing to apply a splint completely or generating zero traction were not used in analyses so that failures by subjects who quit the application procedure could not benefit a devices average times. Each pull tab offers a plastic pull ring for ease of use with gloved hands. In this situation, Sager Splints may be applied over MAST Trousers if treatment of the fractured Femur is indicated or desired. This item: SLISHMAN Traction Splint, 21 OZ, TELESCOPING Aluminum Poles. It has been made more rigid and indestructible with thicker carbon tubes. Traction splints are a pain (in my opinion) to improvise and have limited benefit. Thumb screws on locks are steel, and are therefore, visible on X-ray. Traction splinting of a femoral fracture is recommended to help reduce pain, hemorrhage, and the risk of fat emboli syndrome while also preventing further soft tissue injury during transport.7, The Committee on TCCC (CoTCCC) has identified traction splinting as an appropriate skill for Combat Lifesavers and more advanced providers.8 Little standardization of equipment and training exists for traction splinting in the U.S. Armed Forces. Under these criteria, the authors of this study concluded there was no significant difference between any of these devices, including the improvised splint. The Thomas splint served to decrease the risk of infection from leaving bone ends exposed in the austere environment and to better control hemorrhage from the wound. The STS applies traction from the hip and is infinitely adjustable. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. When extricating or hoisting the splint stays safely contained within the board, litter or basket. Melamed E, Blumenfeld A, Kalmovich B. Prehospital care of orthopedic injuries. Indications A suspected or obvious isolated fracture of the midshaft femur is an indication for traction splint. The STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the design limitations of conventional traction splints. Traction is a medical term the refers to the process of slightly. Evaluation of Commercially Available Traction Splints for Battlefield Use. Furthermore, there is no ischial bar to deal with, so any concerns of causing unnecessary pressure and additional pain are not an issue.EP-810, The FernoTrac Traction Splint help provide mechanical traction to patients with long bone fractures, reducing pain and the possibility of further nerve and vascular damage. It did not examine time to application or provider preferences. While field medical providers must maintain many skills, traction splinting should be an expected competency for initial and refresher training. The most common traction splints you'll see in the field are the Hare (bipolar) and the Sager (unipolar). It has been tested under the harshest conditions around the world by an array of first responders and medics. Another review of 3141 patients indicates a 14% mortality following the intervention of the Thomas splint. The adjusting system of the CT-6 and CT-EMS allows for a micro adjustment to generate a precise amount of traction. x D 3 in. Those casualties presenting with extremity wounds are more likely to be injured by gunshot (20.5% versus 11.5%) and to have a higher Injury Severity Score (21.4% versus 11.9%) than those injured elsewhere in the body. Along with its ability to be used in the setting of associated lower extremity amputation or trauma, this splint is the most suitable for battlefield use of the three devices tested. Any material used to support a fracture is known as splint. Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging * Lightweight and compact - it takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks * One size fits all the STS works with both adults and peds. The authors hypothesized that comparison of the use of these devices would demonstrate a significant difference in the objective performance data and provider preference/confidence to allow the authors to provide a recommendation for standardization of a single splint for battlefield use. Included are 3 telescoping aluminum poles with 2 easy-to-use thumb screw locks, a neoprene ankle hitch, an adjustable nylon groin strap with quick- release buckle, and an optional mid-leg neoprene . Carrying Case Dimensions: 22in x 3in x 3in (56cm x 7.6cm x 7.6cm) Telescoping poles are made of light weight, high tensile . It is also expected that realignment of the fracture will decrease the incidence of fat embolism. The Air Force commonly uses the Hare or RS but also includes. The innovative STS design has the traction mechanism positioned at the patient's hip. This article compared the Hare, Sager, a civilian packaged variant of the CT-6, and an improvised technique using straps, cordage, and a stick. Due to the multitude of negative factors and poor performance in this study, the authors recommend the RS be removed from military service. Sager Traction Splints are indicated in 93% of all femoral fractures (treats mid-shaft and proximal third fractures). This device was considered easy to apply, and its effect is comparable to rigid splinting methods used today. Background: Femoral fracture is a common battlefield injury with grave complications if not properly treated. Every participant applied each splint in random order to the manikin with an assumed weight of 150 lb. It should be noted the device is advertised as a multipurpose splint for other lower extremity injuries, but this function could be replicated with the disposable foam/aluminum SAM-type splints that are all but universal in field medical kits. The Navy currently includes the RS in the Authorized Medical Allowance List (AMAL)-636 Battalion Aid Station and had in the past listed the KTD as an intended component of the AMAL-653 Corpsman Assault Pack. This fact alone would tend to skew both objective performance and self-reported preference in favor of the more familiar devices. ), awarded a NATO Stock Number but not currently part of an MES. Because the civilian National Registry of Emergency Medical Technicians exam does not currently include traction splinting, it is often not taught at initial training nor is it included in sustainment training conducted at the assigned unit. No need to carry two different splints. Kirkup J. Fracture care of friend and foe during World War I. Robinson PM, OMeara MJ. Thus, 57 total subjects participated in some part of the study with 53 completing both surveys and testing on all four devices. Specifications: * Size in bag: 12in x 4in x 4in * Weight: 1 lb * Materials: carbon tubing, nylon & elastic webbing * Colors: black, orange (straps) * Bag: black, blue, camo. Lightweight and Compact The included case allows you to store band-aids, gloves and other supplies to customize your mini first aid kit. Junctional and pelvic hemorrhage has received much attention as of late due to their association with battlefield death. When extricating or hoisting the splint stays safely contained within the board, litter or basket. Testing showed no significant difference between the quantities of traction applied between splints, with all splints applying adequate traction. This was followed by a demonstration of the correct application of each splint on a commercially available femoral traction training manikin (Simulaids, Saugerties, NY) by a member of the research team. Traction Splints help provide alignment for immobilized femur fractures. This site has limited support for your browser. Two-tailed Students t-tests were used to determine the magnitude of differences between each device group as well. The primary field treatment at the time was the Liston splint, a wooden board device in use with the British for almost a century by that time. No attempts were made to influence these responses and all instructors were blinded to any responses until after conclusion of the course and analyses. Participant-Reported Advantages and Disadvantages, Pulley system used for traction gives distinct mechanical advantage, All components come attached to the device for easy accountability, Carbon fiber pole is desirable for strength and weight savings, Labeled/color-coded straps may aid in recall under stressful conditions, Compact storage design with some manufacturers offering external MOLLE, Knee strap application prior to pulling traction prevents pole bowing, Can be adjusted and used for patients with disarticulation injuries, Bipolar design keeps the leg immobilized to a high degree, Only splint that can be applied on a patient, Components do not extend below the foot allowing for increased ease of transportation, Slim profile is ideal for dismounted carry, Fewer components and adjustments than other splints, Strong, rigid pole that is also lightweight, Pulley system may become tangled, which increases application time and reduces traction applied, Multiple hook & loop components can become attached to one another and cause difficulty in application, Per manufacturer, the KTD is a traction device and other splinting materials may be required, Multiple components that are not attached increase risk for loss, Plastic and thin aluminum components provide questionable durability in combat situations, Contraindicated on patients with coexisting pelvic fracture, Undesirable weight and dimensions for dismounted use, Requirement for assistance with application removes another man from the fight, Multiple sites of adjustment found to be confusing, The ability to completely separate poles when adjusting coarse traction due to lack of internal stopping device may make application more difficult, Field repair would be difficult if the internal, During World War II, the Thomas splint was again used as a mainstay of care, its success in World War I believed to be obvious. The CT-6 objectively performed and was subjectively rated as the next highest performing splint. Application time for the STS was faster than that for both the CT-6 (t-test, p < .0028) and the RS (p < .0001). The STS works with both adults and peds. Not contraindicated for lower leg injury or amputation. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. Physicians at the special femur fracture hospital in Bastogne noted a drop in mortality from 13% in 1916 to 7% in 1918. The wrap is also sold as a replacement component for. The Thomas splint served to decrease the risk of infection from leaving bone ends exposed in the austere environment and to better control hemorrhage from the wound. There are currently no reviews for this product. Temporary immobilization of sprains, fractures, and reduced dislocations Control of pain Prevention of further soft tissue or neurovascular injuries 4. Blog. No need to carry two different splints. The STS is able to be used with a concomitant pelvic fracture, similar to KTD and CT-6. The STS is radiolucent and will not interfere with patient imaging or exam. You may also like Slishman Traction Splint - STS. An overview of the slishman traction splint, which is designed to treat midshaft femur fractures and limit blood loss in this potentially life threatening si. Traction Anchor Point is virtually indestructible. If there are other fractures in the foot or ankle traction may not be effective, because traction splints require support on strap sites to be able to apply traction. What makes an effective presentation + effective presentation strategies Aug. 12, 2022. Despite their long history of use in both military and civilian prehospital care, surprisingly little recent outcomes data are available on the use of traction splints. Otherwise, Sager is applied in a similar six-step process to Hare: 1) placement; 2) thigh strap; 3) ankle strap; 4) traction; 5) remaining straps; 6) CMS. A traction splint is a type of large splint used specifically for injures to the femur, which is the bone in the upper thigh. This study was reviewed by the University of South Florida Division of Research Integrity & Compliance and was determined to be exempt quality improvement research that did not meet the definition of human subjects research. However, most won't see a drop of blood. * Improved X-Ray Translucency * The traction pole is made from x-ray translucent carbon fiber. Along with its ability to be used in the setting of associated lower extremity amputation or trauma, it stood above the other commercially available femoral traction splints in suitability for battlefield use. So many femoral fractures were encountered by the Allies during the war that a special hospital in Bastogne was dedicated to femoral fractures. or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. Currently, four traction splints that have been awarded NATO Stock Numbers are in use: the CT-6 Leg Splint, the Kendrick Traction Device (KTD), the REEL Splint (RS), and the Slishman Traction Splint (STS). NOTE: The information included below is designed to be used as a guide for an " Ischial" type traction splint. Specifications: Weight: 21 ounces (595 grams) in the case. Includes: * 3 telescoping aluminum poles with 2 easy-to-use thumb screw locks * neoprene ankle hitch * adjustable nylon groin strap with quick- release buckle * optional mid-leg neoprene strap that can be applied for added rotational stability RESTS, Traction Splint, Leg Straps (4) Adult, Set.SI007, Model 441 includes the Adult Traction Splint and the Pediatric Traction Splint.Designed for use on patients with long bone fractures of lower extremities, the Fernotrac Traction Splint provides mechanical traction to relieve pain and reduce the possibility of further vascular and nerve damage. The STS weighs only 21 ounces and is 23 W x 3 H in size. No long transport delays. Committee on Tactical Combat Casualty Care. Reduction of open fractures caused by a gunshot wound was a primary impetus for Thomas splint use in World War I. There are several traction splints on the market--this one is not the smallest, but it is among the lightest and the mechanism is arguable the most effective. Recent studies focusing on pain control alone are also inadequate in examining the primary outcome of traction splinting on the battlefieldreducing hemorrhage. Emergency Products + Research continues to raise the bar when it comes to product lines for emergency personnel, and we have delivered in all areas with the ITD. Junctional and pelvic hemorrhage has received much attention as of late due to their association with battlefield death.13 However, the treatment of femoral fracturesonce a major emphasis of battlefield care has received scant attention.14 Reference to orthopedic care in the CoTCCC Guidelines is simply to splint fractures and recheck pulse in the Tactical Field Care phase and to reassess in Tactical Evacuation Care.1. Slishman Traction Splint, Compact (STS-C) By: TRI-TECH FORENSICS INC. Nellcor Adult/Pediatric Colorimetric CO2 Detector, Posey Cufflator Endotracheal Tube Inflator and Manometer. Allied forces fighting in the rough terrain of North Africa modified the Thomas splint by wrapping it in padding and plaster-of-Paris to create the Tobruk splint.17 This allowed for greater stabilization during medical evacuation through rough terrain and better conservation of limited supplies than the previously-used plaster-of-Paris spica. combat medic, medical training, traction splinting, Tactical Combat Casualty Care, femoral fracture. Despite their long history of use in both military and civilian prehospital care, surprisingly little recent outcomes data are available on the use of traction splints. The STS can stay on a patient all the way to surgery. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. 5000 Tuttle Crossing Blvd., Dublin, OH 43016800.533.0523, 5000 Tuttle Crossing Blvd., Dublin, OH 43016, By: "The STS had the best objective performance during testing and the highest subjective evaluation by participants. The STS can stay on a patient all the way to surgery. Another review of 3141 patients indicates a 14% mortality following the intervention of the Thomas splint. No funding was accepted for this study. Jones R. Treatment of fractures of the thigh. Your Price: Log in List Price: $239.99 EA Log in for availability View Product Details More info Click to compare Item #: View Multiple CT-6 Traction Splints By: FARETEC, INC. We recommend switching to Edge, Chrome, Safari, or Firefox. Easily applied during manual traction. The side arms of the frame are telescopic and an air pump is connected to the frame so as to be operable to cause simultaneous extension of the two arms. Times of students failing to apply a splint completely or generating zero traction were not used in analyses so that failures by subjects who quit the application procedure could not benefit a devices average times. Original use of the traction splint, first popularized by Dr. Thomas during the First World War, included the use of the device for femur fractures resulting from gunshot wounds, which by definition are open fractures. Ideally suited for search and rescue, special operations, military medics, wildland firefighters, backcountry skiers, or anyone trying to minimize pack weight and cube space. The Faretec CT-6 Traction Splint, DOD Unique and field tested, offers corrosion resistance, temperature stability, superior yield strength and a superior strength-to-weight ratio. The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other tactical traction splints. American College of Surgeons Committee on Trauma. Equipment for ground ambulances. The participants had high numbers of failures on all devices, with the fewest (10) failures on the CT-6, followed by 11 failures on the KTD, 12 failures on the RS, and 15 failures on the STS. Its primary outcomes included a measure of pounds of traction applied as well as a simulated patients self-rating of stability and comfort after 30 minutes of continuous application. Allied forces fighting in the rough terrain of North Africa modified the Thomas splint by wrapping it in padding and plaster-of-Paris to create the Tobruk splint.. Four step application process in rapid and easy. Ever). The authors of an Australian retrospective study of 95 pediatric patients with isolated femoral fracture came to similar conclusions regarding the short-term benefit of traction splinting on pain control.30 However, this articles conclusion was limited by the early administration of femoral nerve block anesthesia in all cases and the fact traction by Thomas splint was used as definitive care on admission regardless of the splint originally applied. The Faretec CT-6 Traction Splint, DOD Unique and field tested, offers corrosion resistance, temperature stability, superior yield strength and a superior strength-to-weight ratio. Despite this, it had the second-highest failure rate and a significantly longer time to successful application than all other splints. 1. Which traction splint do you have the most training experience with? Read more 11 items found Products Per Page 24 Sort Most Popular * Improved Application * Both the ankle hitch and padded groin strap are patented application additions to the I.T.D. Another study in Sweden found only 57 patients with femoral fractures over 5 years for one urban EMS system. While few disagree that traction splinting is an effective treatment for femoral fracture, controversy exists in the civilian sector over whether this treatment can be delayed during the projected Golden Hour or less that exists as patients move from the prehospital phase of care to that of the hospital. While other traction splints are contraindicated with lower leg injury or amputation, the STS as unique design allows the ankle strap to be alternately positioned proximal to the calf. Unfortunately, the generalized poor performance and overall low confidence with traction splinting slightly decrease the value of the participants subjective comments. Lightweight and Compact - The STS weighs only 0.60kg and is 58.5cm W x 7.7cm H in size. It had a full-ring ischial pad and used cravats in a clove hitch around the ankle (later a special attachment to the combat boots sole was developed) to pull traction on the femur.17 Thomas nephew and former apprentice, Sir Robert Jones, became consultant orthopedic surgeon to the British Army in 1914. Slishman Traction Splint (STS) The STS was developed by Dr. Sam Slishman at the University of New Mexico to overcome many of the the operational difficulties of older traction splint designs. Approximately one in five (20%) had used their medical training on battlefield casualties, and one in 11 (9%) had treated a casualty with a femoral fracture on the battlefield. Free response remarks were collected before and after timed application. Subjective and demographic data from the initial survey are summarized in Table 2. traction splint contraindications. Subjective overall confidence was low, with many participants reporting little or no experience with traction splinting in training, and only one in six (16.7%) had used a traction splint on a patient. Women in tech: Interview with Riga Tech Girls mentors from Prezi Lightweight and Compact $189.89. More recently, the utility of traction splints in civilian emergency medical services (EMS) with short transport times has been questioned. There are several different types of commercially made traction splints available. A space for free responses was provided for each splint. The RS had replaced the previous canvas-cased Thomas splint kitsSplint Set, Telescopic Splints ubiquitous on field litter ambulances and similar even into the 1990s. This helps reduce blood loss, alleviate pain and minimize further injury. When extricating or hoisting the splint stays safely contained within the board, litter or basket. The I.T.D. Usually ships within 4 to 5 days. It takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks. Participants were timed with a digital stopwatch starting with the instruction Go and ending when the participant indicated that he was finished. It is essential to understand the mortality benefit seen with the Thomas splint in World War I was observed by comparison with what was essentially a rigid splinting technique. No need to remove the splint. There is brevity of evidence-based research on their efficacy. The Carbon Fiber Traction Pole Does not conduct heat away from the patient, nor does it transfer cold to the patient as an aluminum pole will. As such, they have a much broader range of application and use than other traction splints. Before the modern reintroduction of tourniquets, traction splinting held the honor of being the only prehospital intervention shown to improve survival for limb-injured combat casualties. Battlefield extremity injuries in Operation Iraqi Freedom. Additionally, it is the only splint that does not extend past the end of the leg, allowing easier carriage in Stokes or SKED litters commonly used in current conflicts. Unconventional. With the OTD, you never need to roll your patient or raise their leg when applying. Dougherty AL, Mohrle CR, Galarneau MR, et al. A single article in the literature has compared multiple traction splints sold commercially to civilian first responders. While other traction splints are contraindicated with lower leg injury or amputation, the STS's unique design allows the ankle strap to be alternately positioned proximal to the calf. One group from San Franciscos ambulance service in the early 1980s reported 11 femoral fractures (among other injuries) treated with the RS, concluding it to as superior to the Thomas splint as a matter of subjective provider preference. 17 September 2012. http://www.health.mil/Libraries/120917_TCCC_Course, _Materials/TCCC-Skill-Sets-by-Provider-Level-120917. Sir Henry Gray reported during one battle in spring 1917 that the Thomas splint was used near-universally for femoral fracture and the mortality at casualty clearing stations had dropped to 15.6% of 1009 cases. The STS (4.34/5) was rated as the splint participants felt most confident to apply compared with the CT-6 (4.23/5, p = .459, not significant) versus the KTD (3.89/5, p = .011) and versus the RS (3.45/5, p = .00037). Under these criteria, the authors of this study concluded there was no significant difference between any of these devices, including the improvised splint.33. Find a variety of pieces here. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. It is constructed out of the latest polymers which maintain its material integrity in extreme temperatures + or - degrees. The new Compact Slishman Traction splint is ideal for search and rescue, wildland firefighter, and any remote location rescue teams. The STS Does Not Extend Beyond the Foot -The compact design of the STS won't jam up against ambulance doors or prevent you from placing patients into aircraft. Abarbanell NR. This situation is not unusual with dismounted complex blast trauma that has typified the modern battlefield. Easily applied during manual traction Not contraindicated for lower leg injury or amputation Ability for bilateral application Light and compact One size fits all (including Paediatrics) Lifetime guarantee Features: The Slishman Traction Splint weighs 595 grams in the case. 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