Acute Splinting of Fractures

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Acute Splinting of Fractures Orthopaedic Trauma Todd Horton, MD Holly Pilson, MD Michael Skeen, NP Jacob Nelson, PA C Disclosure Statement We have no financial interest/arrangement or affiliation

1 Acute Splinting of Fractures Orthopaedic Trauma Todd Horton, MD Holly Pilson, MD Michael Skeen, NP Jacob Nelson, PA C Disclosure Statement We have no financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this presentation. Splinting Basics Padding Bony Prominences Thermal burns 1

Splinting Basics Bony Prominences Splinting Basics Thermal Burns http://www.

com/orthopedics/journals/ortho/2013 1 36 1/%7Bda310530 30d9 470b 8d45

2 Splinting Basics Bony Prominences Splinting Basics Thermal Burns burns plaster splints /%7Bda d9 470b 8d45 dcf4d2d340e1%7d/novel posterior splinting technique to avoid heel ulcers friend of mine broke her leg on acruise the plaster from her cast burned her leg/ Upper Extremity Splints Coaptation Long Arm Sugar Tong Volar Wrist 2

com/media gallery/detail/32/86 Upper Extremity Splints Long Arm Distal Humerus Fx

3 Upper Extremity Splints Coaptation Humerus Shaft Fx Elbow at 90 Splint up to neck gallery/detail/32/86 Upper Extremity Splints Long Arm Distal Humerus Fx Elbow Fx Elbow at 90 Splint up to axilla Upper Extremity Splints Long Arm 3

4 Upper Extremity Splints Sugar Tong Forearm Fx Distal Radius Fx Elbow at 90 Splint not past knuckles Splint not past distal palmar crease Upper Extremity Splints Sugar Tong Dorsal Knuckles Distal Palmar Crease overview Upper Extremity Splints Sugar Tong Dorsal Knuckles Distal Palmar Crease overview 4

5 Upper Extremity Splints Volar Wrist Stable Distal Radius Fx Splint not past distal palmar crease Upper Extremity Splints Volar Wrist Lower Extremity Splints Long Leg Femur Shaft fx Distal Femur Fx Knee Fx Proximal Tibia Fx Tibia Shaft Fx 5

Lower Extremity Splints Long Leg Splint up to buttock crease Foot at 90 http://www.

6 Lower Extremity Splints Long Leg Splint up to buttock crease Foot at 90 Lower Extremity Splints Long Leg DiM_QM!/?basicTechnique=Fracture%20management%20with%20limited%20resources&segment=Shaft&bone=Tibia&showPage=redfix Lower Extremity Splints Long Leg DiM_QM!/?basicTechnique=Fracture%20management%20with%20limited%20resources&segment=Shaft&bone=Tibia&showPage=redfix 6

7 Lower Extremity Splints Short Leg +/ Stirrup Distal Tibia Fx Ankle Fx Foot Fx Lower Extremity Splints Short Leg +/ Stirrup Foot at 90 Lower Extremity Splints Short Leg +/ Stirrup Foot at

Lower Extremity Splints Traction Thomas Splint Sager Splint Hare Traction Buck s Traction Femur Fxs Lower Extremity Splints Thomas Splint https://www2.aofoundation.

ut/p/c1/04_sb8k8xllm9msszpy8xbz9cp0os3hng7baryddrwn3q1dda08xn59qz8aaqwmda6b8jjk8hagfgyfnqkez n7gth1dahibup4_83ft9sp0oc5yq3e31i3ns0xotk_ulcipk8x0vfqfc2_

8 Lower Extremity Splints Traction Thomas Splint Sager Splint Hare Traction Buck s Traction Femur Fxs Lower Extremity Splints Thomas Splint n7gth1dahibup4_83ft9sp0oc5yq3e31i3ns0xotk_ulcipk8x0vfqfc2_ G/dl2/d1/L0lJSklna21BL0lKakFBRXlBQkVSQ0pBISEvWUZOQTFOSTUwLTVGd0EhIS83X0MwVlFBQjFBMEcxRTEwSURGTFVJUVAxMEc1LzRVc01BOTYyOTAwMTM!/?sho wpage=redfix&bone=femur&segment=shaft&classification=32 A1&treatment=Non+operative&method=Temporary+Thomas+splint&implantstype= Lower Extremity Splints Sager Splint s301 FormIII.asp 8

Lower Extremity Splints Hare Traction http://www.haretractionsplint.

com/corflex/products/hip/ultra_bucks_hip_traction_ splint.htm http://www.mizuhosi.

$http://remotemedicine.blogspot.com/2011/10/pelvic fractures in remote areas.$ pelvis Rectal bleeding Treatment Bind the pelvis Administer whole blood or fluids if blood is not

pelvis Rectal bleeding Treatment Bind the pelvis Administer whole blood or fluids if blood is not

9 Lower Extremity Splints Hare Traction Lower Extremity Splints Buck s Traction splint.htm bed traction/traction componentsaccessories/bucks traction/ Pelvic Binder fractures in remote areas.html Signs and symptoms of a pelvic Elevated Pulse Rate Elevated Breathing Rate Point tenderness in the pelvis Rectal bleeding Treatment Bind the pelvis Administer whole blood or fluids if blood is not available. Hypotensive resuscitation has shown to be a life saver for pelvic fractures Pelvic fractures can bleed up to three L into the pelvic cavity. Aggressive treatment is required especially in remote areas. Bind the pelvis before moving or rolling the patient. 9

PEDIATRIC CASTING AND SPLINTING HEATHER KONG, M.D. SHRINERS HOSPITAL FOR CHILDREN PORTLAND OCTOBER 7, 2017

PEDIATRIC CASTING AND SPLINTING HEATHER KONG, M.D. SHRINERS HOSPITAL FOR CHILDREN PORTLAND OCTOBER 7, 2017 DISCLOSURES I have no financial relationship with any company or product discussed in this presentation.