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CHAPTER 16 SKILL DRILL

Splinting
Extremities

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Skill Drill 16-1 Arm Sling for an Arm Injury (1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Place the bandage between the forearm Step 2 Bring the lower end of the bandage
and the chest, with the point of the bandage over the forearm.
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toward the elbow of the injured arm and stretch
it beyond the elbow. Pull the upper end of the
bandage over the uninjured shoulder .
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Skill Drill 16-1 Arm Sling for an Arm Injury (2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Bring the end of the bandage around Step 4 Place a swathe around the upper arm
the neck to the uninjured side and tie to the and body. The center of the swathe should be
other end at the hollow above the collar bone placed over the arm. The hand should be in
(clavicle) on the uninjured side. thumb-up position within the sling and slightly
© Jones & Bartlett Learning. above the level of the elbow. Place padding
underneath the knot on the neck for comfort.
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Skill Drill 16-2 Sling for Clavicle or Shoulder Injury
(1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Place the bandage between the forearm Step 2 Continue bringing the lower end of the
and the chest, with the point of the bandage toward bandage around the victim’s back and tie it to
the elbow of the injured arm, and stretch it beyond the upper end of the bandage.
the elbow. Pull the upper end of the bandage over © Jones & Bartlett Learning.

the uninjured shoulder. Bring the other end out of


the bandage over the forearm and tuck it under the
armpit on the injured side.
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Skill Drill 16-2 Sling for Clavicle or Shoulder Injury
(2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Place a swathe around the chest and Step 4 Tie the swathe behind the person’s back.
forearm rather than the upper arm. The
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center of the swathe should be placed over
the arm. The hand should be in thumb-up
position within the sling and slightly above
the level of the elbow.
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Skill Drill 16-3 Splinting Upper Arm (Humerus) (1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Gently place the injured arm across the Step 2 Loop a cravat or strap around the neck
chest. If available, tie a rigid splint to the and wrist to allow the arm to hang in the sling
outside of the arm. If a rigid splint is not position.
available, go to Step 2. © Jones & Bartlett Learning. Courtesy of MIEMSS.

© Jones & Bartlett Learning. Courtesy of MIEMSS.


Skill Drill 16-3 Splinting Upper Arm (Humerus) (2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Secure the arm to the chest with a
swathe (folded triangular bandage).
© Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-4 Splinting Elbow in Bent Position (1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 If the injured elbow is bent, place a Step 2 Tie a rigid splint onto the arm with
rigid splint from the upper arm to the wrist . cravat bandages
© Jones & Bartlett Learning. Courtesy of MIEMSS. © Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-4 Splinting Elbow in Bent Position (2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Place the arm in a sling, and check
CSM (circulation, sensation, movement ).
© Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-5 Splinting Elbow in Straight Position
(1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 If the injured elbow is straight, place a Step 2 Secure with a roller bandage or
rigid splint along the inside of the arm from the several cravat bandages.
hand to the armpit. © Jones & Bartlett Learning. Courtesy of MIEMSS.

© Jones & Bartlett Learning. Courtesy of MIEMSS.


Skill Drill 16-5 Splinting Elbow in Straight Position
(2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Check CSM (circulation, sensation, movement).
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Skill Drill 16-6 Applying a Rigid Splint on a Forearm

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Place a rigid object (eg, cardboard, Step 2 Secure the splint onto the arm by using
wood board, folded newspaper or magazine) either a roller bandage or folded triangular
under the forearm. Place padding (eg, towel, bandages (known as cravat bandages).
T-shirt) between the rigid object and the skin,
and place padding in the palm (eg, roller Step 3 Place the arm in a sling with a binder.
bandage, wad of cloth). Assess CSM after splinting.
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Skill Drill 16-7 Applying a Soft Splint on a Forearm

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Wrap a pillow or folded blanket around Step 2 Secure the soft splint (eg, pillow) by
the forearm using folded triangular bandages (known as
© Jones & Bartlett Learning. cravat bandages) or cloth bands.

Step 3 Place the arm in a sling with a binder.


Assess CSM after splinting.
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Skill Drill 16-8 Splinting a Knee in the Straight
Position (1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Lift the injured leg and place a rigid Step 2 Place cravat bandages under the rigid
splint (long board) under the leg. The splint splint and place soft padding under the knee
should extend from the buttocks to beyond and ankle.
the foot. © Jones & Bartlett Learning. Courtesy of MIEMSS.
© Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-8 Splinting a Knee in the Straight
Position (2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Tie the cravat bandages. DO NOT tie the
knots over the injured area. DO NOT tie the knot
over skin. All knots should be tied against the
splinting material. Assess CSM after splinting.
© Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-9 Splinting a Knee in the Bent
Position (1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Place a rigid splint (long board) against Step 2 Tie a cravat bandage around the splint
the injured leg. DO NOT place the splint and lower leg.
against the knee. © Jones & Bartlett Learning. Courtesy of MIEMSS.

© Jones & Bartlett Learning. Courtesy of MIEMSS.


Skill Drill 16-9 Splinting a Knee in the Bent
Position (2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Tie a cravat bandage around the Step 4 Tie knots over the splint, not
splint and thigh. over the leg. Assess CSM after
© Jones & Bartlett Learning. Courtesy of MIEMSS. splinting.
© Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-10 Splinting Lower Leg (Self-Splint) (1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Place padding (folded blanket) Step 2 Tie the legs together.
between the legs. Push the cravat bandages © Jones & Bartlett Learning. Courtesy of MIEMSS.

under the leg with a thin board.


© Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-10 Splinting Lower Leg (Self-Splint) (2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Tie knots between the legs, over the
padding (folded blanket). Assess CSM after
splinting.
© Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-11 Splinting Leg (Rigid Splint) (1 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 1 Place one rigid splint (board) on the Step 2 Tie both splints and leg together with
outside (lateral) and another inside (medial). cravat bandages.
Push the cravat bandages under the leg © Jones & Bartlett Learning. Courtesy of MIEMSS.

with a thin board.


© Jones & Bartlett Learning. Courtesy of MIEMSS.
Skill Drill 16-11 Splinting Leg (Rigid Splint) (2 of 2)

Copyright © 2021 by Public Safety Group, A Division of Jones & Bartlett Learning. www.psglearning.com.
Step 3 Tie knots on top of the splint (board).
Assess CSM after splinting.
© Jones & Bartlett Learning. Courtesy of MIEMSS.

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