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SPLINTING

 

 

INDICATIONS:

Temporary immobilization to improve pain and discomfort, decrease blood loss, reduce the risk for fat emboli and minimize the potential for further neurovascular injury associated with:

·         Fractures

·         Sprains

·         reduced dislocations

·         tendon lacerations

·         deep lacerations across joints

·         painful joints associated with imflammatory disorders

 

 

CONTRAINDICATIONS:

 

 

MATERIALS:

 

 

PATIENT EDUCATION:

 

 

PROCEDURE/TECHNIQUE:

               

**See Diagrams for specific splints

 

 

COMPLICATIONS, Prevention & Management:

 

Compartment Syndrome

·         pain in the extremity

·         tenderness over the involved compartment

·         significant pain with passive stretching of ischemic muscle tissue

·         diminished distal pulses and sensation

·         delayed capillary refill, and pale cool skin. 

 

Prevention

·         avoid wrapping bandages too tightly or making circumferential splints

·         elevate the extremity to decrease swelling

·         apply topical cold packs

·         no weight bearing

·         early (24-48 hour) follow-up for high-risk injuries

 

Management

·         remove all constricting bandages and splint materials

·         consider compartment pressure monitoring

·         early consultation with orthopedist and/or vascular surgeon for possible fasciotomy

 

Pressure Sores

 

Heat Injury

 

Infection

 

Joint Stiffness

 

 

DOCUMENTATION FOR THE MEDICAL RECORD:


ITEMS FOR EVALUATION: