Emergency Splinting Bandaging and Taping …（应急用夹板固定包扎和录制u2026）.pptVIP

Emergency Splinting Bandaging and Taping Techniques Chapter 7, pp194-199 Chapter 11, pp259-279 Immediate Treatment of Orthopedic Injury One primary goal Reduction of swelling PRICE Protection Rest Ice Compression Elevation Cold Application Decreases pain Produces vasoconstriction Controls hemorrhage and edema Decreases local cell metabolism Decreases tissues’ need for oxygen Reduces hypoxia Sensations- Cold, burning, aching, numb Emergency Splinting Two vital principles Splint from one joint above the fracture to one joint below the fracture Splint the injury in the position it is found Splints Vacuum splints Styrofoam chips contained inside an airtight cloth, pliable sleeve Molds to shape of injury using a handheld pump to draw out the air from within the sleeve Air splints Extremity splinting Provides clear view of injury during x-ray Splinting Lower limb Fractures of knee, thigh, and hip require splinting of all limbs Upper limb Shoulder injuries are splinted in a sling Elbow injuries must be splinted in the position found Wrist injuries must be splinted in forearm flexion and should include a sling Fingers splinted with aluminum splints Splinting Bandaging and Taping Provides compression to minimize swelling in the initial management of injury Reduces the chances of injury by applying tape prophylactically Provides additional support to an injured structure Elastic Bandages Most often used for compression for injuries Can be used to secure dressing for a wound Can also be used for cold application Can provide support to injured tissues Technique for application Always begin distally and move proximally Wrap the body part in the position of maximum muscle contraction to ensure unhampered movement and circulation Use a larger number of turns with moderate tension than a limited number of turns and tighter Each turn of the bandage should be overlapped by at least one half to prevent separation of the material (can pinch and irritate skin) Adhesive Taping Common t