How to Position Splint on a Fracture

Video Transcript

My name is Alv Rios and I am a paramedic with Lansing Mercy Ambulance on behalf of Expert Village. In this clip we are going to go over repositioning the fracture site if needed. As we discussed earlier when you are checking for pulse, movement and sensation once they have all three you are allowed to then splint the fracture as you find it. If for example you had an angulated limb and when you checked for a pulse, movement or sensation if they lacked one of those then that means that either blood vessels or the nerves have been compromised. You can no longer splint in that position because something is being injured or going to possibly continue to have the injuries. So what you want to do now is it's called re-aligning. You want to either pull the limb or then you want to put it in the anatomical position to however you need to. Then you want to move very slow. Keep in mind this is going to cause a lot of pain to the patient and while you are doing it you want to maintain your hand where the pulse should be. Then you want to keep moving until you feel a pulse. Once you feel a pulse make sure that then they have the movement and sensation. If they don't have the movement and sensation then you want to continue to move until you have all three. This is also important because when you are splinting a fracture they may have pulse, movement and sensation before but after you splint it you might have accidentally moved something where you have then cut off one of those three. So it's always important that you check for pulse, movement and sensation three times, once before you touch the injury site. Second after you've completed the care and the third time anytime you have moved the patient. So it's important to check every time and if after you have already splinted the injury site if you check for pulse, movement and sensation and they lack it you then need to either re splint it or try to realign it.

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