Overview
This instructional session covers the use of vacuum splints for immobilizing bones or joints, focusing on the application for lower leg injuries such as a fibula fracture.
Vacuum Splint Indications and Types
- Vacuum splints are used to immobilize bones or joints in cases of fractures, dislocations, or substantial sprains.
- Various sizes and types of splints are available depending on patient and injury location.
- Selection depends on injury location (e.g., leg, arm) and patient size.
Preparation and Positioning
- Determine the injury location to guide splint application.
- Lay the splint flat and evenly distribute the internal beads.
- In practice, assistance is preferred to support the injured limb during application.
Splint Application Steps
- Ensure the splint covers the joints above and below the injury site (e.g., ankle and knee for a lower leg).
- Secure all straps around the limb, avoiding excessive tightness over injured areas.
- Include the foot to prevent movement in flexion and extension.
Creating the Vacuum Seal
- Insert the pump into the splint’s valve and draw air out to make the wrap rigid.
- As air is removed, the wrap shrinks and hardens around the limb.
- Recheck and tighten straps as needed after vacuuming out the air.
Post-Application Checks and Removal
- Check circulation by ensuring the patient has sensation in their toes.
- For removal, open the valve to let air back into the splint, making removal easy.
- The splint allows for safe transport to the emergency room and facilitates imaging.
Recommendations / Advice
- Always immobilize joints above and below the injury.
- Confirm circulation remains intact after application.
- Seek professional medical evaluation after splinting and during transport.