Before you apply traction, make sure you do not catch anything you don‘t want to put pressure on with the groin strap 😉 Had a little training incident because of that recently 😬😅
Per De Slishman, his traction splint can be applied above the knee, another benefit in case the knees toast. It is the only traction splint that solves these prior contraindications, distal trauma/derangement or fractures with concomitate femur fracture. Thank you Dr. Slishmam!
We rely on air services a lot out here and a femur fx is definitely something we would fly. We had the little tent pole splints but recently swapped out to these. My guys like them a lot better.
I love this, if it wasn’t over $200 I would put it in my personal kit but I am definitely gonna push to try and replace our old sager and hare splints with this. Some of them are even broken and just completely self dissemble if you aren’t careful when opening them and yet we still carry them on my ambulances.
Slishman sent me a few of those pressure dressing. Bloody amazing they are too. Very similar to a swat-t but one handed application defo a game changer.
Oh, this was SO HELPFUL!! I have recently purchased the Pressure Wraps (amazing multuli-use bleeding control) for my Urban and Wilderness First Aid classes, but this splint is a game-changer for my EMS jump bag!
Great product.consider strategically placed padding at pressure points.also, consider a securing system to prevent the proximal traction string dislodging and releasing the traction accidentally.
I hope you'll get your hands on one at some point for a test drive. I think you'll feel how well padded it is. Also the V notch is hard to see. But that's the actual lock mechanism. The cleat on the side is the securing system you suggest which keeps it from dislodging. Have a look at minute 7.36. Thanks for the comment and feel free to fire away if other questions.
I'm back to this video again after an experience on a jobsite last night. A lady apparently fell getting into or out of a running vehicle and managed to put it into reverse in the fall. She had both of her legs run over and appeared from the bowing and rotation to have midshaft fractures in both femurs. This wasn't a situation I was prepared or qualified to do anything about and it was terrifying to even think of first aid. I have no idea how Fire arrived at that location at that time of night so fast but I'm incredibly thankful there was professional help so nearby. Paramedics were right behind Fire and ultimately I wasn't even involved. I guess I'll never know the patient's outcome but I couldn't sleep all morning thinking about it.
Yea we’ve got hares on our ift trucks. Those would be so much more convenient to have and make more space for stuff that we actually need like spare portable o2 tanks
We'll need to get Skinny Medic in here for a second opinion, lol. J/K, excellent demonstration, I would like to hear from the "victim" if they get similar traction with that compared to a Hare, Sager, etc.
If you have the room a Hare or Reel are much better, they provide support, positioning, and traction. Believe it or not an old school half ring Thomas splint might be even better and definitely more comfortable if you have the experience to apply it. The KTD's real strong point is versatility, it doesn't care what size you are 6mo 25lb to 75yo 400lb ( just some additional considerations for packaging and movement).
@@jamesbridges7750 that’s the snag: “If you have room.” And what if it’s a proximal femur? What if the ankle doesn’t exist? What if the ambulance door hits the splint on closing? Message me and I’ll get you a sweet splint replacement deal.:)
Medical gear is so expensive. A metal tube with a plastic tube in it and 3 stretchy loops: Up to 250 dollars. I'm trying to get a manual suction device, an injection molded plastic turkey baster with a small baggie hanging off it: 60 bucks
I fully agree and wish the price could be lower. You'd be amazed how much goes into regs. FDA wants $6500 a year. More to sell into the EU. Lemme know if you could use a hand with your design. Building is the fun part. Sales and marketing much less so.
Can the device also be used for compound fractures? Does it even make sence to use it on compound fractures? I am kinda new to EMS so I hope this isn't a stupid question tho.
One nice thing is you don't need Xray vision to apply these. They're splints first that just happen to offer traction. If someone thinks they broke their femur, feel free to apply and test with some traction. If they get pain relief then thumbs up. If not, then back off a bit to find whatever position offers the most comfort. Thanks for asking.
Sam, looking for advice on a belt mounted ifak. Have you seen the Coyote Tactical STOMP gen 2 and if so, your opinion on it. Also what are your brand recommendations for a belt mounted ifak ? This will just be for a battle belt that is worn to the range.
National Ski Patrol uses these I think, at least at my mountain, but I’d never heard of the ankle strap being placed higher than the ankle… is it a different product by the same company?
Many Ski Patrol use the non-compact version of the STS. It's the same functionality but it is just longer so it can go all the way to the ankle. That's likely what you are thinking of. Because the STS-C is designed to be small, it goes proximal to the calf.
Definitely reusable. You can clean the straps as you would for any backboard straps. If they get very soiled or damaged then they can be replaced if needed. I like putting a towel between the patient's groin and the strap just to keep the strap clean though.
I'm 14, and want to be a paramedic (your videos are very helpful) And wanted to know when to start an IV, because I like to Imagine my self on calls, And also is there any medical disqualifications for scoliosis?
IV is started in trauma that can result in Hypovolemic shock, ( loss of circulating blood volume). It can be started in any patient that needs IV medications, like Heart attack, diabetic emergency, cardiac arrest , shock from any cause..neurogenic, cardiogenic, hypovolaemic, anaphylactic. Can also be started in a potentially unstable patient for KVO..(Keep Vein open) For emergency change in condition where meds need to be given. sorry your back scoliosis I can't answer. up to the employer I guess. Ex Para.
I wonder if you should consider one of the paramedic/nurse pathways. You would be VERY useful in an ED setting. As you get experience you will become valuable in different work environments. Consider starting out with a small volunteer fire dept. or a clinic. Look for workplaces where several people care for patients, and become the go to medic because of your knowledge. Go for it!
P/S Kay, doing a public First aid course, and maybe joining a volunteer organization may help your career choice, as an employer would look upon that as a good plus, seeing that you know what your up for, and already got your hands dirty. Good luck.
Alzheimer bro. You talk videos you never did. In a more serious note, it must hurt like hell to put that device in position. What can you do??? Morphine??
If it's a mid shaft break and the device is placed and secured correctly the pain the patient feels is reduced significantly. Pain medications can and should be used. Choices are agency dependant. Typically high dose fentanyl, 2-3mcg/kg will be sufficient. If it is not, then ketamine will be used to supplement along with a small dose of versed. Remember this is all patient dependant.
You’d be surprised by how much pain is relieved by traction. And letting patients assist with pulling the cord changes the dynamic from “trust me, this will help” to “let’s do this together until you feel better.” I’ve used the splint many times and have never had a patient feeling worse after application.
