The SplintER series is back with its fourth installment! In this series, we review splinting fundamentals, introduce advanced concepts, and highlight ways to implement these into your next shift. In this post, we summarize some of the most commonly deployed splints in the ED. Peer-reviewed by sports medicine experts (Dr. Kori Hudson and Dr. Anna Waterbrook), these injury-splint summary tables provide information on the origin, insertion, and positioning for each splint, along with the recommended number of layers of plaster.
Learning Objectives
- Review splint techniques associated with injuries commonly managed in the ED.
- Learn some basic tips to help with successful placement of these splints.
Upper Extremity1,2
Humerus
Fracture | Splint | Technique |
---|---|---|
Proximal humerus | Cuff and collar (or sling) | |
Humeral shaft | Coaptation | |
Supracondylar | Long arm posterior or double sugar tong |
Forearm
Wrist and Hand
Lower Extremity1
Tibia, Fibula, Ankle, and Foot
Thanks to Dr. Anisha Molholtra for the professionally sketched splint images!
References
- Boyd A, Benjamin H, Asplund C. Splints and casts: indications and methods. Am Fam Physician. 2009;80(5):491-499. [PubMed]
- EBSCOhost Login . Metacarpal head fracture – emergency management. http://www.dynamed.com/login.aspx?direct=true&site=DynaMed&id=903302. Published April 5, 2018. Accessed July 1, 2018.
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