Procedure 34 — Treatment: Splinting

What is the first clinical indication for splinting?

Extremity immobilization for transport due to suspected fracture, sprain, or injury.

What is the second clinical indication for splinting?

Immobilization of an extremity for transport to secure medically-necessary devices, such as IV catheters.

What must be assessed and documented before placing a splint?

Pulses, sensation, and motor function.

What should be removed from the extremity before splinting?

All clothing, including jewelry.

Where should a splint be secured relative to the suspected injury or medical device?

Both proximal and distal to the area of suspected injury, or the area where the medical device will be placed.

Where should a splint not be secured?

Directly over the injury or device.

What materials may be used to secure a splint?

Velcro, straps, or bandage material such as Coban, Kerlex, or cloth bandage, depending on the splint design.

What must be documented after splint placement?

Pulses, sensation, and motor function.

What should be done if pulses, sensation, or motor function deteriorate after splint placement?

Remove the splint and reassess.

What femur fracture location allows for use of a traction splint?

A proximal third or midshaft femur fracture.

What two conditions must be absent for traction splint use to be appropriate?

Evidence of pelvic fracture or instability, or a lower extremity fracture distal to the femoral injury.

What name is given to the femoral traction splint referenced in this procedure?

The Slishman traction splint.

What two conditions warrant traction splint use even with adequate perfusion?

Neurovascular compromise or pain not controlled with analgesia.

What provider levels can perform splinting?

EMT-A, EMT-B, and EMT-P.