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. * Aluminum is barely visible on X-ray. As with many other procedures, such as cricothyrotomy and tourniquets, the priority is different on the battlefield than in the civilian sector. The innovative STS design has the traction mechanism positioned at the patient's hip. 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. 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. The traction mechanism is easy, fast and super precise by means of an acme threaded polycarbonate rod system. A foot retaining device is attached to the arms adjacent the base of the U and a thigh ring is releasably securable to the movable sections . (e.g. 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. When extricating or hoisting the splint stays safely contained within the board, litter or basket. * Improved Application * Both the ankle hitch and padded groin strap are patented application additions to the I.T.D. traction splint contraindicationsbaseball reference glossary traction splint contraindications Meny foxwoods grand theater virtual seating chart. A space for free responses was provided for each splint. Hare Traction Splint (Bipolar Traction Splint) It was ranked as the best design for dismounted carry and had the highest rating for being the most appropriate splint for battlefield use. The CT-7 splint has been SIMPLIFIED by removing straps, velcro and all loose ends. As these low hanging fruit decrease in incidence due to improved care, attention must also turn to lesser contributors in order to minimize morbidity and mortality. 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. The STS (4.34/5) was rated as the splint participants felt most confident to apply compared with the CT-6 (4.23/5, Self-Reported Post-Testing Survey Results. Indications A suspected or obvious isolated fracture of the midshaft femur is an indication for traction splint. Thus, the authors believe this higher failure rate on single timed trial is due to initial familiarization with the device and could be overcome with a focused training package that would be required with implementation of a new device to the field. Quickly adjusts to patient. 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. Check out the STS-Compact >>. 2. Not contraindicated for lower leg injury or amputation. A quantitative measure of traction applied was indicated by the manikins digital display. Despite this, it had the second-highest failure rate and a significantly longer time to successful application than all other splints. 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. A comparison between the effects of simple and traction splints on pain intensity in patients with femur fractures. Carry case for the adult QD, TIII and TII traction splints. We are confident that this leg traction splint is the best choice for any medic. When extricating or hoisting the splint stays safely contained within the board, litter or basket. 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. The new Compact Slishman Traction splint is ideal for search and rescue, wildland firefighter, and any remote location rescue teams. Timed testing for each splint was graded as pass/fail with regard to proper application based on the manufacturers instructions for use and the ability to create measurable traction. 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. Physicians at the special femur fracture hospital in Bastogne noted a drop in mortality from 13% in 1916 to 7% in 1918. 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. Traction Splints help provide alignment for immobilized femur fractures. A second survey was conducted after students had received instruction and placed all devices on the manikin without assistance in timed trials. Eastridge BJ, Mabry RL, Seguin P, et al. The Coast Guard authorizes the KTD, RS, or Hare Traction Splint to be selected by individual unit preference. 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). The innovative STS design has the traction mechanism positioned at the patient's hip. The Thomas splint. 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. the wounded are stabilized, evacuated, and treated, especially in the recent conflicts in Southwest Asia. Kirkup J. Fracture care of friend and foe during World War I. Robinson PM, OMeara MJ. the KTD as part of the Expeditionary Medical Support (EMEDS) system. The RS was rated overall significantly worse than the other splints as well versus the CT-6 (p < .0001) and the KTD (p < .0001). -Evaluation of Commercially Available Traction Splints for Battlefield Use, Journal of Special Operations Medicine Volume 14, Edition 2/Summer 2014, Dimensions:23" H x 3" W x 3" D (packaged)Dimensions: 45.5" H x 0.75" Diameter (fully extended)Weight:1.32 lbs. Background: Femoral fracture is a common battlefield injury with grave complications if not properly treated. REEL Splints and Kendrick Traction Devices were provided by the USF Health Center for Advanced Clinical Learning. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging.4. Participants had a very negative outlook on the RS. The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other femoral traction splints. 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 RS (361.3 seconds). Traction splints are widely used for immobilisation of fractures of the lower limb. Introduction to the combat zone was slow, and it was not until 1917 that the Thomas splint was officially distributed as the standard. In 1961, the American College of Surgeons recommended that traction splints be included in every ambulance in the United States.19 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.20 The first unipolar traction splint, the KTD, was first introduced in 1986. Mansson E, Ruter A, Vikstrom T. Femoral shaft fractures and the prehospital use of traction splints. Tactical Combat Casualty Care Skills List. 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. On the post-testing survey, the STS was the highest rated splint across all four reported categories. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. Kit comes complete with all straps, ankle hitch and carry case. Times on each device were compared using a one-way ANOVA with 158 degrees of freedom (df) within groups and 3 df between groups. The Slishman Traction Splint (STS) overcomes both of these objections. 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. 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). Prolonged pressure on the ankle and other pressure points of a traction splint can cause ischemia/infarction of the tissue in that area. Subjects also rated the STS highest in all post-testing subjective survey categories and reported significantly higher confidence that the STS would best treat a femoral fracture (p < .00229). 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. Interested in our award-winning Slishman Traction Splints? Blog. 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 . 3. Each pull tab offers a plastic pull ring for ease of use with gloved hands. 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. Battlefield Experience With Traction Splinting, On the modern battlefield, TCCC interventions focusing on the predominant causes of battlefield preventable mortalityairway obstruction, external hemorrhage, and tension pneumothoraxhave saved numerous lives.12 As these low hanging fruit decrease in incidence due to improved care, attention must also turn to lesser contributors in order to minimize morbidity and mortality. 4. 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 device, patented under the name Adjustable Support, is a hollow Black Diamond collapsible pole with an inner cord that is looped through a system of pins, which creates a pulley mechanism with a mechanical advantage of 4:1. Rapid Patient Application in Under 60 Seconds -The unique design of the STS makes it the fastest splint to apply. the "Slishman Pressure Wrap" label to the black fabric or use the provided safety pin. The CT-6 was selected as best designed for dismounted carry and most appropriate overall for battlefield use on the initial survey. 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.6 This concern is almost nonexistent in the civilian setting, where transport to a waiting ambulance mere feet away is the most likely scenario. In a prospective study of 64 patients with femoral fracture randomized to either traction or simple/rigid splinting in an Iranian EMS system, there was no significant difference between groups in pain level immediately after application. 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. This article compared the Hare, Sager, a civilian packaged variant of the CT-6, and an improvised technique using straps, cordage, and a stick. This led the author to conclude that femoral fracture in civilian EMS was a rare event and that rigid splinting or long backboard immobilization alone was acceptable, making traction splints an expensive luxury if not unnecessary. Background: Femoral fracture is a common battlefield injury with grave complications if not properly treated. Recent studies focusing on pain control alone are also inadequate in examining the primary outcome of traction splinting on the battlefieldreducing hemorrhage. Yes = 1, No = 0. No long transport delays. 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. Sign Up for Rescue Essentials News, Sales, and Deals (We will not share your info with anyone. Rapid Patient Application in Under 60 Seconds, 3. Femoral fracture is a common battlefield injury with grave complications if not properly treated. The causes of death in conventional land warfare: implications for combat casualty care research. contraindications for traction splint. No long transport delays. Lightweight and Compact -The STS weighs only 21 ounces and is 23 W x 3 H in size. How many times have you conducted training on traction splinting? Unlike other traction devices, only the OTD allows the ability to work around any hip or groin trauma. Lightweight and Compact On the post-testing survey, the STS was the highest rated splint across all four reported categories. provides a compact case with MOLLE style attachment capability for easy storage and rapid deployment. Rowlands TK, Clasper J. A single closed femoral fracture alone can lead to 1000 to 2000mL of internal blood loss.5 An open fracture may be less amenable to hemorrhage control with a tourniquet due to multiple wound fragments and impaired ability to compress vessels. 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 innovative STS design has the traction mechanism positioned at the patient's hip. Share Share on Facebook Tweet Tweet on Twitter Pin it Pin on Pinterest. It takes up little space in vehicles or aircraft and can easily be strapped to jump bags and backpacks. 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. * Improved Patient Comfort * The ankle hitch, carbon fiber traction pole, straps and groin pad each come together to improve patient comfort in all areas. The carrying case dimensions are 22" X 3" X 3" or 56cm x 7.6cm x 7.6cm. However, it stood alone among the four splints with the ability to apply the ankle hitch high on the calf in the event of an amputation or other foot/ankle/calf injury that would preclude the use of the others. 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. The Slishman Pressure Wrap was built with bleeding control in mind. If yes, which traction splint did you use? 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. 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. Table 5 Participant-Reported Advantages and Disadvantages. Table 2 Initial Survey Table 3 Timed Testing Results. However, the STS and its application technique are markedly different from those any of the other three devices. This display was not visible to the participant, but participants could note lengthening of the shortened limb and improvement of deformity if the correct traction was applied. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Total failures for each splint included multiple iterations where participants requested termination of the event prior to attempting full application of the device due to a high level of frustration with their skills. ITS ALL ABOUT TRACTION. Last, the STS (4.17/5) was rated as the overall most appropriate traction splint for battlefield use compared with the CT-6 (3.92/5, p = .28455, not significant) versus the KTD (3.15/5, p < .0001) and the RS (1.94/5, p < .0001). No risk of striking the splint resulting in further injury or pain to the patient. We recommend switching to Edge, Chrome, Safari, or Firefox. Easily applied during manual traction. Radiolucent -The STS is radiolucent and will not interfere with patient imaging or exam. Corey G, Lafayette T. Preparing for operations in a resource-depleted and/or extended evacuation environment. The post-skills survey contained statements with corresponding 5-point bipolar Likert scoring scales (1 = strongly disagree, 3 = neutral, 5 = strongly agree) to measure student confidence and preference to perform traction splinting. The ischial ring of the traction splint must be against the bony prominence of the . Some available with, pole, nylon straps, neoprene ankle hitch, and midleg strap. The wrap is also sold as a replacement component for. No risk of striking the splint resulting in further injury or pain to the patient. The STS had significantly more failures than the KTD (. A single person can properly apply the OTDin less than one minute. Specific outcomes tested included time to application, proportion of successful application as defined by instructions for use, amount of traction applied (ideally 10% of body weight), and provider confidence and preference as measured by survey. 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. 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? 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. was made with a special contouring material in both the groin and ankle strap areas to bring much needed comfort to the patient. Henry BJ, Vrahas MS. combat medic, medical training, traction splinting, Tactical Combat Casualty Care, femoral fracture. These authors argued there was a paucity of data for their necessity, and there was evidence of harm with the rare complication of temporary peroneal nerve palsy associated with the Hare-type bipolar splints most commonly used in the civilian setting. 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. Reduction of open fractures caused by a gunshot wound was a primary impetus for Thomas splint use in World War I. This situation is not unusual with dismounted complex blast trauma that has typified the modern battlefield. 1. 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. 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. In addition, it is more than twice as costly as the next most expensive splint. 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. This is a two piece, pediatric, Ischial strap for Hare traction splint. Any patient who has experienced the current single pole traction device will attest to the discomfort it gives to the groin and ankle areas. Committee on Tactical Combat Casualty Care. 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 * Application possible even in cases of lower leg/foot amputation * Includes the Slishman Pressure Wrap to assist with rotational stability * Dimensions: 13 H x 3 W * Weight: 13 oz Application Information: The distal hitch on the STS-C is applied just proximal to the calf or patella. Under these criteria, the authors of this study concluded there was no significant difference between any of these devices, including the improvised splint. With its superior objective performance in testing, best subjective rating in all four categories assessed in the post-testing survey, and its unique ability to be used with a lower extremity amputation, the authors recommend the STS as the single-best traction splint for military use. NOTE: If the leg is elevated at all, manual traction must be applied before elevating the leg. 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. In 1961, the American College of Surgeons recommended that traction splints be included in every ambulance in the United States. Another study in Sweden found only 57 patients with femoral fractures over 5 years for one urban EMS system. Traction Mechanism Accessible During Transport. He soon advocated the splints use for fractures of middle and lower thirds of the femur, knee, and upper tibia.18 Introduction to the combat zone was slow, and it was not until 1917 that the Thomas splint was officially distributed as the standard. Four step application process is rapid and easy. Melamed E, Blumenfeld A, Kalmovich B. Prehospital care of orthopedic injuries. Thus, 57 total subjects participated in some part of the study with 53 completing both surveys and testing on all four devices. It is also expected that realignment of the fracture will decrease the incidence of fat embolism. Death on the battlefield (20012011): implications for the future of combat casualty care. 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. No need to remove the splint. A single brief demonstration followed by a single tested iteration without opportunity for practice is hardly enough time to demonstrate proficiency with a new technology. The Slishman Traction Splint (STS) is an innovative traction device that solves many of the current problems with other traction splints. 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. 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. The authors believe that the RS has persisted for so long due to its length of service and due to the continuing use in civilian EMS systems of Hare-type splints. This splint features a telescoping design along with directions printed on the nylon leg straps to ensure quick application. 3. It did not examine time to application or provider preferences. 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. Further study of all aspects of battlefield femoral traction splinting is warranted with greater attention paid to this skill in initial and sustainment training. 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. In 87.5% of cases, these patients were treated by placement on a long backboard alone without negative sequelae noted. With the bone ends exposed (pierced the skin) the risk on infection is great. No need to carry two different splints. The ankle strap is held in . The STS (4.25/5) was also rated as best designed for dismounted carry compared with the CT6 (4.21/5, p = .85522, not significant) versus the KTD (3.60/5, p = .00249) and the RS (1.79/5, p < .0001). You can easily and quickly adjust traction for maximum patient comfort * Radiolucent - The STS is radiolucent and will not interfere with patient imaging or exam. 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It weighs less than 20oz. Times on each device were compared using a one-way ANOVA with 158 degrees of freedom (, The post-skills survey contained statements with corresponding 5-point bipolar Likert scoring scales (1 = strongly disagree, 3 = neutral, 5 = strongly agree) to measure student confidence and preference to perform traction splinting. 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 One Coast Guard and four Army Servicemembers participated in the initial survey but did not complete the study due to conflicts with mission requirements. A single closed femoral fracture alone can lead to 1000 to 2000mL of internal blood loss. Check out this video of Dr. Slishman discussing the various types of traction splints. Comparisons of mean values between corresponding questions from the four sections of the post-skills survey were performed using matched-pairs Students t-tests given 52 df. The STS is Not Contraindicated in Lower Leg Injury or Amputation - While other traction splints are contraindicated with lower leg injury or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. Lightweight and Compact North American Rescue Hyfin Vent Chest Seal, Original Version 2 Count (Pack of 1) $15.99 ($8.00/Count) In Stock. So many femoral fractures were encountered by the Allies during the war that a special hospital in Bastogne was dedicated to femoral fractures. Conclusions: The STS had the best objective performance during testing and the highest subjective evaluation by participants. The CT-6 is manufactured in tactical black for minimal visibility. Lightweight and compact, it fits easily into backpacks or confined spaces and provides the same mechanical advantage internal pulley to provide precise femoral traction as the orginal Slishman Traction Splint. Apply neoprene outer tube . The STS applies traction from the hip rather than from the ankle. Features: * Acme screw traction technology super precise, strong and accurate. Application of traction splints to the femur can be a bit tricky, mostly because of the various indications and contraindications. EMS, hospital ER) Yes = 1, No = 0, Have you performed traction splinting on a live patient? However, the recommendation to initially treat traumatic femoral fractures with splinting has not changed significantly since this time. Yes = 1, No = 0. Relative contraindications to the use of traction splints include hip dislocation, fracture-dislocation of the knee, and concomitant ankle injury. 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. * 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. This is, without a doubt the best traction device on the market. Like the original, the STS-C generates a mechanical advantage using an internal pulley to apply precise femoral traction. Participants had a very negative outlook on the RS. Application times of all the splints were statistically superior to the RS. Irajpour A, Kaji NS, Nazari F, et al. 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. Agrawal Y, Karwa J, Shah N, Clayson A. Traction splint: to use or not to use. However, most won't see a drop of blood. Wiegert RS, Soliza JR, Almonte JM, et al. 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. 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. In 1916, famed British military surgeon Colonel Sir Henry Gray calculated the mortality rate of femoral fracture as roughly 80%. Anodized aluminum ratchet for QD4 leg traction splint. Application time for the STS was faster than that for both the CT-6 (t-test, p < .0028) and the RS (p < .0001). * Improved Buckles * The I.T.D. This innovative design change provides a number of outstanding benefits over conventional traction splints: 1. Patents: 6,394,972 - 6,786,882 - 6,913,587 Meets MIL-STD-810G, 501.5 NSN: 6515-01-631-3182 8770 Trade St, Leland, NC 28451 800.438.7884 www.rescue-essentials.com The Slishman Traction Splint should be thoroughly cleaned Shop EMP today! 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. 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 Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. Recent studies focusing on pain control alone are also inadequate in examining the primary outcome of traction splinting on the battlefieldreducing hemorrhage. Purchase online today. The STS is Not Contraindicated in Lower Leg Injury or Amputation -While other traction splints are contraindicated with lower leg injury or amputation, the STS unique design allows the ankle strap to be alternately positioned proximal to the calf or patella. Traction 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. 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. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. Less than 13 ounces, and 13" packedone of the smallest and lightest traction splints on the market. 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. This device was considered easy to apply, and its effect is comparable to rigid splinting methods used today. Over 5000 femoral fracture casualties were treated in the last 9 months of the war by the British Army alone. Nonbattle-related injuries such as motor vehicle accidents and falls may also result in femoral fractures. American College of Surgeons Committee on Trauma. Due to the holiday break, our offices will be closed November 24-25. Statistical analysis of the times between these four groups is significantly different (ANOVA, F factor of 8.529 and p < .01). Read more 11 items found Products Per Page 24 Sort Most Popular Sign Up for Rescue Essentials News, Sales, and Deals (We will not share your info with anyone. The CT-6 is manufactured in tactical black for minimal visibility. Light and compact. There are several contraindications to the use of traction splints: -The patient has an open fracture -The patient has a suspected spinal injury -The patient has a suspected pelvic fracture -The patient has a suspected hip fracture -The patient has a suspected femur fracture -The patient has a suspected knee fracture 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. 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. Simply just not practical for dismounted operations.. This allows femur traction to still be applied and leaves the lower leg accessible for other splinting or bandaging. One in five (20%) had treated a femoral fracture in some setting. Keywords: combat medic, medical training, traction splinting, Tactical Combat Casualty Care, femoral fracture, Battlefield medicine has changed markedly since the, American Expeditionary Force deployed to France in June 1917 as part of World War I. Tactical Combat Casualty Care (TCCC) doctrine has revolutionized how, the wounded are stabilized, evacuated, and treated, especially in the recent conflicts in Southwest Asia.1 However, the recommendation to initially treat traumatic femoral fractures with splinting has not changed significantly since this time.2 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.3, 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.4 Eighty-six percent of these fractures were open with accompanying soft tissue injury. Lightweight and Compact The first unipolar traction splint, the KTD, was first introduced in 1986. Customer Terms & ConditionsPrivacyTerms of UseCode of ConductSupplier Code of ConductSupplier Terms and ConditionsReturn Policy Tactical Combat Casualty Care Guidelines. Femur traction is applied through the extension of the pole segments creating a pushing force on the ankle strap instead of pulling distally from . In stock. In addition, the CT-6 has the lowest price of all splints tested. It must also be noted the STS had 15 failures, which is statistically significant compared to 10 for CT-6 and 11 for KTD. Fifty-three participants completed two surveys and a single timed trial with each traction splint. Rescue Essentials is a division of Tri-Tech Forensics. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. Transient peroneal nerve palsies from injuries placed in traction splints. Specs STS Does Not Extend Beyond the Foot Rapid Patient Application in Under 60 Seconds STS is Not Contraindicated in Lower Leg Injury or Amputation Lightweight and Compact One Size Fits All Traction Mechanism Accessible During Transport Radiolucent Five Year Warranty Dimensions: Packaged: L 23 in. Rangeen Chandran 2. 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. utilizes only Nexus for its buckles. A traction splint for attachment to a person's leg for example and having an elongate U-shape frame. Thus, participants could not improve their performance by completing a prior iteration with another splint, as is possible for the other devices. Of the splints tested, the RS is the heaviest and bulkiest device. 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. 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 present invention provides a splint that may be telescopically extendable, coarsely and finely adjustable, and providing a mechanical advantage while being readily transportable. An initial survey was conducted after the standardized presentation but before hands-on skills practice. Most of the literature comes from World War I, where a considerable degree of the decreased mortality from femoral fracture is credited to the deployment of the Thomas splint into the European theater.15 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. 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