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Guide to Arm and Elevation Slings

Apr 25, 2025

Arm Slings and Elevation Slings

Purpose of Slings

  • Used to immobilize and support an injured arm
  • Prevent further damage

Types of Slings

  1. Arm Sling

    • Holds the arm in a horizontal or slightly raised position
    • Used for:
      • Upper arm injuries
      • Wrist injuries
      • Rib fractures
      • When the elbow can bend
  2. Elevation Sling

    • Holds the arm in a raised position with fingertips touching the shoulder
    • Helps in:
      • Supporting the arm
      • Controlling bleeding from the hand or arm
      • Reducing swelling

How to Make an Arm Sling

  1. Ask the casualty to support their arm
  2. Pass the triangular bandage under the arm and over the shoulder
  3. Leave the long end facing down
  4. Bring the top part around to the opposite shoulder
  5. Bring the hanging part up to meet the other end
  6. Allow the casualty to release their arm and then re-support it
  7. Tie a reef knot
  8. Tuck the corners under
  9. Ensure the whole arm is supported, down to the little finger
  10. Twist the remaining bandage for a snug fit around the elbow

How to Make an Elevation Sling

  1. Ask the casualty to support the injured arm with fingertips touching the shoulder
  2. Lay the triangular bandage over the injured arm
  3. Have the casualty hold the bandage in place
  4. Wrap the bandage underneath the arm and around the back
  5. Tie a reef knot
  6. Tuck the points under
  7. Twist leftover bandage for a snug fit by the elbow

Checking Circulation

  • Squeeze the fingernail for 5 seconds
  • Color should return within 2 seconds
  • If not, the sling is too tight and needs to be loosened
  • Check circulation every 10 minutes

Key Points

  • Two types of slings: Arm sling and Elevation sling
  • Know the correct sling for each condition
  • Understand the application process for both types