Several weeks I surveyed the group regarding first aid measures for =
extremity fractures in your ED's. I have summarized the responses below. =
the original posting follows the summary.
Responses: 13 (12 institutions)
In general, most do something at the triage point, but precisely what is =
done is highly variable. =20
--A sling, a pillow, either with ice, an IV board=20
--A cardboard splint with/without sling or ice or analgesia
--orthoglas or other splint formed "on the spot", with/without adjunct =
Response to questions:
1. Who applies splints? (several places identified different caregivers)
2. When is the splint applied?
At triage: 8
in room (before MD eval): 1
after MD eval: 3
3. What splinting materials are used?
thank you for your help.
I have a question about management of extremity fractures in the ED. We =
are looking at the question of applying splints (radio lucent, re-usable =
or disposable) on presentation to the triage desk. This would apply to =
children with obvious swelling, deformity and/or mechanism suggestive for =
fracture. Primarily upper extremity, but also lower extremity injuries. =
Our current practice is to register, then send to X-ray while waiting for =
physician evaluation. Splinting is typically done only after physician =
1. Who applies splints in your facilities (nurse, MD, other)?
2. Are splints applied at triage, after child is in room (before MD eval), =
or after MD evaluation?
3. If splints are applied early, do you use primarily disposable or =
Send responses to me privately, so we don't clutter the discussion.
I will tabulate/summarize and report to the list.
Thanks for any help in this.=20
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