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Chapter 10 - Immobilization and splinting

Published online by Cambridge University Press:  05 November 2013

By
Michael C. Bond  and
Michael K. Abraham
Edited by
Michael C. Bond
Edited in association with
Andrew D. Perron  and
Michael K. Abraham
Michael C. Bond
Affiliation:
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore
Andrew D. Perron
Affiliation:
Department of Emergency Medicine, Maine Medical Center, Portland
Michael K. Abraham
Affiliation:
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore
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Summary

This chapter presents the indications, materials required, and the application of the different types of splints used to stabilize broken bones of the arm and leg. The splints include sugar tong splints, double sugar tong splints, reverse sugar tong splints, volar splints, dorsal splints, posterior long-arm splints, stirrup splints and radial gutter splints. In addition to splinting, various immobilization devices can be utilized by the ED provider to facilitate patient comfort and healing, while stabilizing the injured area. These include hinged knee braces, figure-of-8 braces, boot immobilizers, and arm slings. Instructing the patient on the proper use of immobilization devices is crucial to prevent further complications, i.e., DVT or nerve palsies. Dynamic splinting and figure-of-8 braces are examples of advanced immobilization devices.

Keywords

pelvic fracturespubic ramismortality rateavulsion fracturesdisplaced pelvic fracturesacetabular fractures
Type
Chapter
Information
Orthopedic Emergencies
Expert Management for the Emergency Physician
 , pp. 248 - 269
Publisher: Cambridge University Press
Print publication year: 2013

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