[Music] so this particular skill is fitting for a vacuum splint vacuum splint is any time that you really need to immobilize either a bone or a joint typically either a dislocation or a fracture or pretty significant or substantial sprain of a particular joint there are a variety of different types of vacuum splints there are different sizes different lengths different widths so you really have to kind of different determine what particular one you're going to use the one that we're gonna use today is going to be for a lower leg so you can see this is fairly large but we also have a much smaller one which looks just like this this particular one can be used for if you're a smaller child their leg or an adult an upper arm injury so it really kind of depends on what the particular situation calls for so this particular athlete has injured their leg you kind of determine where the injury is and that helps dictate exactly how you apply the particular vacuum splint if it was a lower leg fracture or a knee dislocation or an ankle dislocation this particular technique works very good for that we're gonna assume here though that he's got a lower leg fracture so it's not too terribly bad let's just say it's a fibula fracture but we know we want to transport him to the emergency room fibula fracture is not necessarily a call for an ambulance so as long as we can immobilize we can actually place him in a vehicle and just drive him directly to the emergency room so one of the things that we're gonna do again we're gonna select our particular wrap one of the things that is that happens here is because it's called a vacuum splint we're actually going to suck air out of the splint and there are beads inside of here and as you suck all the air out those beads form together and make this wrapped very rigid so you want to make sure that these beads are evenly distributed you know throughout the particular wrap so you want to make sure that you kind of lay it down flat make sure that the beads aren't in one particular area make sure that they're separated all the way through here again in a real-life situation you wouldn't want some assistance filled a secured and lift leg but with our kind of training purposes here we can just have it have him kind of lift his leg up but ideally you wouldn't want to do that the rules in terms of splinting or we want to make sure that the joints above and below the fractured area are secure so we want to make sure that we're secured his ankle as well as his knee so you can see here I've extended the wrap down just a little bit to make sure that we keep and prevent the ankle from actually moving so now what I'm going to do is I'm actually going to secure these straps around the thigh and the leg all the way down and around the area making sure that it's nice and secure I don't want to press too terribly tight because obviously we have a fractured in an injured area here this particular one can go around the foot this way to make sure that it again keeps his foot nice and secure from kind of moving into flexion and extension once we have the vacuum splint all secured we're gonna grab our pump in order to draw the air out what this is going to do is this is going to insert into the valve on the inside edge here so I'm just gonna place this in and start to pump and withdraw air from the actual splint as we do this it becomes a little bit more difficult with every pump because we're drawing less and less air out of the particular splint and you can actually see it kind of shrinking down eventually it's getting to the point where I can't really draw any more air out so I'm just gonna pull this directly out now that we've chunked taken the air out the wrap is a little bit shrunken down so I want to take then pull these straps just a little bit more secure and a little bit tight tighter because of the fact that it's been loosened up once that's done we want to check and make sure that we haven't cut off any circulation so I want to feel for a toes make sure that he can feel it and feel like it's all ready to go and then he is all ready to go to be able to transport if at any point in time you need to actually take the wrap off or you get to the emergency room this particular version has a very easy way to actually well take out the ear which is just there's a little valve that you can actually kind of unscrew and pull out and you can start to see that the air starts to actually draw back into the rap wait for a few seconds and there's plenty of air in there for this rap to be able to be moving and taking off so then this gives us funny time to be able to take the athlete in get the x-ray done that we need [Music]