Evaluation of commercially available traction splints for battlefield use.
نویسنده
چکیده
BACKGROUND Femoral fracture is a common battlefield injury with grave complications if not properly treated. Traction splinting has been proved to decrease morbidity and mortality in battlefield femur fractures. However, little standardization of equipment and training exists within the United States Armed Forces. Currently, four traction splints that have been awarded NATO Stock Numbers are in use: the CT-6 Leg Splint, the Kendrick Traction Device (KTD), the REEL Splint (RS), and the Slishman Traction Splint (STS). OBJECTIVE The purpose of this study was to determine the differences between the four commercially available traction devices sold to the U.S. Government. METHODS After standardized instruction, subjects were timed and evaluated in the application of each of the four listed splints. Participant confidence and preferences were assessed by using Likert-scaled surveys. Free response remarks were collected before and after timed application. RESULTS Subjects had significantly different application times on the four devices tested (analysis of variance [ANOVA], p<.01). Application time for the STS was faster than that for both the CT-6 (t-test, p<.0028) and the RS (p<.0001). Subjects also rated the STS highest in all post-testing subjective survey categories and reported significantly higher confidence that the STS would best treat a femoral fracture (p<.00229). CONCLUSIONS The STS had the best objective performance during testing and the highest subjective evaluation by participants. Along with its ability to be used in the setting of associated lower extremity amputation or trauma, this splint is the most suitable for battlefield use of the three devices tested.
منابع مشابه
Response to Mr. Lee's letter to the editor.
Mr Lee implies we did not thoroughly investigate his product. In fact, our article, “Evaluation of Commercially Available Traction Splints for Battlefield Use,” also cited Auerbach et al.’s 1984 research in which the RS was deemed superior to the Thomas splint. We also were aware of the advertised internal memoranda by combat medic instructors from the Army Medical Department Center & School in...
متن کاملUse of a sharps bin to provide lower limb traction
Ann R Coll Surg Engl 2012; 94: 359–372 Many lower extremity, pelvic and acetabular fractures require traction as first aid management prior to definitive fixation. While skin traction and Thomas splints are generally available, weights to provide countertraction are often missing or in parts of the hospital remote to the emergency department. A sharps bin (Sharpsguard® orange 11.5; Daniels, Oxf...
متن کاملA technique for optimal manipulation of rotation of the flexible ureterorenoscope
Ann R Coll Surg Engl 2012; 94: 359–372 Many lower extremity, pelvic and acetabular fractures require traction as first aid management prior to definitive fixation. While skin traction and Thomas splints are generally available, weights to provide countertraction are often missing or in parts of the hospital remote to the emergency department. A sharps bin (Sharpsguard® orange 11.5; Daniels, Oxf...
متن کاملLaparoscopic hepatic flexure mobilisation
Ann R Coll Surg Engl 2012; 94: 359–372 Many lower extremity, pelvic and acetabular fractures require traction as first aid management prior to definitive fixation. While skin traction and Thomas splints are generally available, weights to provide countertraction are often missing or in parts of the hospital remote to the emergency department. A sharps bin (Sharpsguard® orange 11.5; Daniels, Oxf...
متن کاملPreoperative Sterilization Preparation of the Shoulder: A Comparative Study Evaluating Gauze Sponge and Commercially Available Applicator Prep Stick
Background: Surgical site infection (SSI) remains a concern in shoulder surgery, especially during arthroplasty. Whilemany studies have explored the characteristics and efficacy of different sterilizing solutions, no study has evaluated themethod of application. The purpose of this study was to compare two popular pre-surgical preparatory applications (two4 x 4 cm gauze sponges and applicator s...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of special operations medicine : a peer reviewed journal for SOF medical professionals
دوره 14 2 شماره
صفحات -
تاریخ انتشار 2014