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Skills Station Six

Traction Splinting

This station is designed to test your ability to properly immobilize a mid-shaft femur injury with a traction splint.  You will have an EMT assistant to help you in the application of the device by applying manual traction when direction to do so.  You are required to treat only the specific, isolated injury.  The scene size-up and initial assessment have been completed and during the focused assessment a mid-shaft femur deformity was detected.  Ongoing assessment of the patient's airway, breathing and central circulation is not necessary.

You have (10) ten minutes to complete this skill station.

 

Interface Features / Options

 - Review this skill and information

 - Take the skill knowledge test

 

Skills Station Details

Takes or verbalizes, body substance isolation precautions

1

Directs application of manual stabilization of the injured leg

1

Directs the application of manual traction

1

Reassesses motor, sensory and circulatory function in each extremity

1

NOTE: The examiner acknowledges "motor, sensory and circulatory" functions are present and normal

Prepares/adjusts splint to the proper length

1

Positions the splint next to the injured leg

1

Applies the proximal securing device (e.g., ischial strap)

1

Applies the distal securing device (e.g., ankle hitch)

1

Applies mechanical traction

1

Positions/secures the support straps

1

Re-evaluates the proximal/distal securing devices

1

Reassesses motor, sensory and circulatory function in each extremity

1

NOTE: The examiner acknowledges "motor, sensory and circulatory" functions are present and normal

Verbalizes securing the torso to the long board to immobilize the hip

1

Verbalizes securing the splint to the long board to prevent movement

1

TOTAL:

14

 

CRITICAL CRITERIA

___ Loss of traction at any point after it was applied

___ Did not assess motor, sensory and circulatory function in the injured extremity before and after

___ The foot was excessively rotated or extended after splinting was applied

___ Did not secure the ischial strap before taking traction

___ Final immobilization failed to support the femur or prevent rotation of injured leg

___ Secured the leg to the splint before applying mechanical traction

 

NOTE: If the sager splint or the Kendricks Traction Device is used without elevating the patient's leg, application of manual traction is not necessary.  The candidate should be awarded 1 point as if manual traction were applied.

 

NOTE: If the leg is elevated at all, manual traction must be applied before elevating the leg.  The angle hitch may be applied before elevating the leg and used to provide manual traction.

 

 

 

Related Skill Stations

 - Skills Station 6A - Long Bone Injury

 - Skills Station 6B - Joint Injury

 

Skills Station Testing

Knowledge Based Skills Testing

Skills Knowledge Test

Practical Skills Summary Test

Once you have reviewed the practical skill above, you may take a knowledge based test to ensure that you know the skill.

7 Questions

 

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