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Sager® Emergency Traction Splints and the Minto Fracture Kit

31

1

What advantage is there to using Sager’s revolutionary Malleolar
(Ankle) Harness?

•

There is less chance of cutting off circulation with the Sager® Malleolar Harness (ankle
harness) because it is applied above the Malleoli of the ankle away from the posterior
Tibial and Dorsalis Pedis Arteries. These arteries are deep in the ankle at the site of
application of the Sager® Malleolar Harness.

•

The Sager® Malleolar Harness is quick and easy to apply.

•

The Sager® Malleolar Harness is now copied and used by almost all splint manufacturers.

•

The traditional triple and quadruple type harnesses used with Ischial Pad Traction
Splints are applied lower over the foot — directly over the Dorsalis Pedis and posterior
Tibial Arteries at the location in the foot where they are most superficial and most
susceptible to pressure or injuries.

Cross section of the ankle above the 
Malleoli at the site of pressure and 
traction of the Sager® Malleolar Harness. 
Note that the arteries are protected from 
compression at the Malleoli of the Ankle.

Diagram of lower limb. Anterior and 
Posterior view of the lower limb at the 
site of the Sager® Malleolar Harness. 
Note that at the front of the leg the 
Dorsalis Pedis Artery is located deep in 
the anterior Ankle and is protected from 
compression except on the top of the foot. 
At the back of the leg the posterior Tibial 
Artery is protected from compression 
because it is located between the Fibula 
and Achilles Tendon.

• Dorsalis Pedis Artery

• Muscle

• Fibula

• Posterior Tibial Artery

• Flex. Hallucis Longus

• Gastrocnemius Muscle 

and Achilles Tendon

• Achilles Tendon

• Posterior Tibial Artery

• Tibia

• Extensor Hallucis 

Longus Tendon

• Exterior Digitorum 

Longus

• Extensor Digitorum Brevis

• Dorsalis Pedis Artery

becomes superficial here

Back of Leg

Front of Leg

• Dorsalis Pedis Artery

• Muscle

• Fibula

• Posterior Tibial Artery

• Flex. Hallucis Longus

• Gastrocnemius Muscle 

and Achilles Tendon

• Achilles Tendon

• Posterior Tibial Artery

• Tibia

• Extensor Hallucis 

Longus Tendon

• Exterior Digitorum 

Longus

• Extensor Digitorum Brevis

• Dorsalis Pedis Artery

becomes superficial here

fig 19

fig 20

Содержание KNLEDFLDRL10W

Страница 1: ...4 Sager Extreme Compact Bilateral Models S301 Form III Single S300 Infant Bilateral S304 Form III Bilateral Super Sager Combo Pacs 1 and 2 and the MINTO FRACTURE KIT J M Fikes BSN MSN A G Borschneck M...

Страница 2: ...Traction Traction Force Challenge Emergency Orthopedics The Extremities USA ICD9 Projections Suggested Reading Power Point presentation and or overhead projections For more information on Sager Emerge...

Страница 3: ...ceSager Emergency Traction Splints and the Minto Fracture Kit to students participating in EMT and Nursing Paramedic programs Theseguidelinesareonlyintendedforuseasabasic referencetool Pleasedefertofe...

Страница 4: ...a question record it and contact your local or state education service for the answer Split the class into three equal groups Have one group write the written test one group practice with the splint s...

Страница 5: ...e Outer Shaft to the Articulating Base and Cushion Follow the easy application stages of Position Set and Secure to complete the operation Release Rotate Reconnect Press Button Release Latch Rotate sp...

Страница 6: ...foundation for the torso and provides support for the lower limb attachment and locomotion It is shaped so that the ischial tuberosity forms a platform for sitting in an upright position This occurs...

Страница 7: ...Laceration of arteries veins and nerves at the site of the fracture Severe muscle spasms resulting in Bone fragment overriding deformity and shortening of the limb Decreased tissue pressure resulting...

Страница 8: ...forces generally in excess of 30 to 50 pounds can in some cases control spasm in a few seconds However there is a risk with this mode of traction It may result in nerve vascular muscle and soft tissu...

Страница 9: ...c traction arrangements Common femoral fractures versus splinting systems In 1997 the projected potential of U S Femoral Fracture hospital admissions totaled 474 551 USA ICD9 Projections Internet Of t...

Страница 10: ...t can range in height from 13 4 to 31 2 high the same adult elevations are seen in pediatric models sadly they have not been resized for pediatric patients In order to hook onto the Ischial Tuberosity...

Страница 11: ...d related vascular structures in the critical proximal third of a femoral fracture This same feature makes the Sager indicated for treatment in 93 of all femoral fractures Sager Splints also avoid the...

Страница 12: ...chanteric Femoral Fracture with Sager Emergency Traction Splint in place with 15lbs of traction Note alignment of fracture occurs and pressure on critical structures below the Femoral Shaft is absent...

Страница 13: ...supine patient thigh strap applied Patient moved to a sitting position 15 lbs traction Varies 20 0 to 71 0 lbs Hare Splint on supine patient thigh strap applied Patient lifted and carried 15 lbs tract...

Страница 14: ...he Shaft of the Femur Survey Radiograph of adult female CAT SCAN Study of the Pelvis and Femur Cross Section through Cut 21 of CAT SCAN Study Note Ischial Tuberosity is a medial structure in relation...

Страница 15: ...n and Sager s application for splinting femoral fractures When a patient suffers a fractured femur the large muscles surrounding the bone react by going into spasm which causes severe pain Traction sp...

Страница 16: ...te may go into a more intense spasm and therefore produce more discomfort for the patient The situation would also produce an increase in the amount of traction perhaps even to the point of 30 pounds...

Страница 17: ...Form III Bilateral Paramedic applying Sager S301 Form III Single on a 5 9 adult male Close up of Model S304 Sager Form III Bilateral demonstrates the Sager s unique ability to fit inside air transport...

Страница 18: ...y Instructions and Packing Procedures may result in damage to the splint and or hinder the application of the splint Minto Research Development Inc is not responsible for incorrect assembly and or usa...

Страница 19: ...the shortest end of the articulating base towards the ground Set b Fold down the number of comfort cushions needed to engage the ankle above the medial and lateral malleoli cUsing the attached hook an...

Страница 20: ...ankle harness around the ankle to secure snugly Pull control tabs to engage the ankle harness tightly against the crossbar Apply Quantifiable Dynamic Traction Grasp the padded shaft of the SX404 with...

Страница 21: ...medial and lateral malleoli Using the attached Hook and Loop Straps wrap the ankle harness around the ankle to secure snugly Pull control tabs to engage the ankle harness tightly against the Crossbar...

Страница 22: ...ap the ankle harness around the ankle to secure snugly Pull control tabs on the ankle harness to shorten the Ankle sling pulling it up against the sole of the foot Apply QUANTIFIABLE DYNAMIC TRACTION...

Страница 23: ...s to minimize lower and mid limb movement Note On small infants one or both of the smaller Cravats may be sufficient for secure immobilization Step 3 Secure Adjust the Abductor Bridle thigh strap at t...

Страница 24: ...nes Articulating Base and Cushion Articulating Base and Cushion the saddle bends laterally for seating and exacting conformance to the ischial tuberosity With a Sager Splint most perineal exam ination...

Страница 25: ...on Four Features advantage and benefits Will fit patients ranging from a 4 year old to an adult well over 2m 7 feet in height With the Sager s unique design the patient s weight is not a problem in ap...

Страница 26: ...malalignment No pressure against the Sciatic Nerve Articulating Base Cushion Bends laterally for seating and exacting Increases the comfort and safety of the conformance to the Ischial Tubersosity pa...

Страница 27: ...Features Quantifiable Dynamic Traction No assembly required Benefit Has a much broader range of application and use than other traction splints Radio lucent design enables Xrays and CATSCANS to be tak...

Страница 28: ...nts and treats unilateral fractures S300 4 Super Sager Combo Pac 2 Includes 1 each S300 Sager Infant Bilateral and S304 Sager Form III Bilateral Both units store in a single carry case Model S300 Sage...

Страница 29: ...ess steel Sager Form III Series Articulating Base is comprised of Dupont s Crastin Polyester Resin The Form III Shaft Cushion is manufactured from Closed Cell CPE Chlorinated Polyethylene Foam The S30...

Страница 30: ...plint Proper The Splint Proper consists of the Ischial Perineal Cushion and Saddle Base the Outer and Inner TelescopingShafts theCrossBarHarness TractionScaleandTractionHandleorTraction Pulley Wheel T...

Страница 31: ...oli The harnesses are marked Left and Right to indicate the appropriate placement and use Each harness has Comfort Cushions that can be folded into place to accommodate the various sizes of Ankles or...

Страница 32: ...30 Sager Emergency Traction Splints and the Minto Fracture Kit Section Six Questions and answers PowerPoint 12...

Страница 33: ...the Sager Malleolar Harness Note that the arteries are protected from compression at the Malleoli of the Ankle Diagram of lower limb Anterior and Posterior view of the lower limb at the site of the S...

Страница 34: ...inage and a decrease in congestion and swelling of that foot However this does nothing for the drainage of the injured femur In order to take advantage of elevation one would have to raise the foot an...

Страница 35: ...r Splints exclusively for in hospital and service exchange use 6 Are Sager Emergency Traction Splints comfortable to wear Do they press against male and female genitalia To date no significant complai...

Страница 36: ...ely applied to the medial side of the thigh and the Ischial Perineal Cushion is located so that it lies in the perineal opening of the Anti Shock garment Since the splint is closely applied to the leg...

Страница 37: ...l side of the leg Can Sager Splints be placed and utilized on the outside of the leg Sager Splints were designed to be used in the same manner as that used in orthopedic operating theatres when open r...

Страница 38: ...it Section Seven Contraindications and cleaning All operators should receive full and proper initial and refresher instruction sessions from a qualified person on detailed use of this equipment and re...

Страница 39: ...sure from the ankle harness and from traction is not therapeutic The indications and contraindications listed above are only intended as a basic reference tool Please defer to federal state and or loc...

Страница 40: ...gency Traction Splints and the Minto Fracture Kit Section Eight Appendix A Practical examination for use by Sager Emergency Traction Splints students Includes test paper and a certificate for successf...

Страница 41: ...side position with fracture site up 2 What is the best method of preventing external rotation of a fractured femur a Apply an ischial pad splint with tripod which binds the foot of the injured limb b...

Страница 42: ...s and benefits of a single rescuer being able to apply a Sager Splint are a Frees second attendant for other patients and procedures b Less patient manipulation and therefore less pain and discomfort...

Страница 43: ...Ischial Tuberosity is a structure that is _________ to the shaft of the femur a Superior b Inferior c Medial d Lateral 10 Cat Scan studies reveal that the Ischial Tuberosity protrudes a maximum of __...

Страница 44: ...raction weight and pulley b Static traction drum and crank c Dynamic traction spring traction 14 Manual traction by a first responder or paramedic falls in the category of dynamic traction It has one...

Страница 45: ...ds per leg b 30 pounds per leg c 15 kilograms per leg d You pull traction until the patient gets relief 18 Sager s dynamic function enables the traction to _________ as the spasm releases a Maintain b...

Страница 46: ...the part d Amount of spasm 24 The Sager Infant Bilateral Emergency Traction Splint has been designed to reduce the risk of _________ a Over traction b Knee edema c Injury to epiphyseal growth centers...

Страница 47: ...ilhouette 5 The advantages and benefits of a single rescuer being able to apply a Sager Splint are e All of the above 6 When a Sager Splint is properly applied the structures used and pressed on are t...

Страница 48: ...he Sager Splint dynamic function enables the traction to _______ as the spasm releases b Decrease 19 The Sager SX404 S304 and S301 traction splints will fit a patient ranging in age from a __________...

Страница 49: ...ise Sager Emergency Traction Splints Parts identification place the correct letter by the part Splint Proper Shaft Cushion Leg Cravat Kit Malleolar Harness Set Abductor Bridle Pedal Pinion Articulatin...

Страница 50: ...e Answer Key Sager Emergency Traction Splints Parts identification Splint Proper Shaft Cushion Leg Cravat Kit Malleolar Harness Set Abductor Bridle Pedal Pinion Articulating Base and Cushion Carrying...

Страница 51: ...en examinations in the use of Sager Traction Splints and meets all local state and federal requirements and certifications for use of this equipment Date awarded Awarded by name of EMS Instructor On b...

Страница 52: ...the Minto Fracture Kit Section Nine Minto Fracture Kit MFK From field to hospital When applied the MFK is radiolucent to all areas of immobilization Radiolucent design enables X rays MRI and CATSCANS...

Страница 53: ...joint Extrication of a patient is made easier with the MFK as the splint remains within the silhouette of the injured limb Comprehensive Tensor Cravat System The MFK splint is secured to the patient...

Страница 54: ...FK700 Parts Identification Carrying Case The Multi Angle Connector or MAC Padded Outer Shafts Cushioned Extender Bars 32 Cravats 24 Cravats 18 Cravats 24 Security Cravats Sam Splints PowerPoint 10 1 2...

Страница 55: ...xercise Minto Fracture Kit MFK700 Parts Identification Answer key Carrying Case The Multi Angle Connector or MAC Padded Outer Shafts Cushioned Extender Bars 32 Cravats 24 Cravats 18 Cravats 24 Securit...

Страница 56: ...nd pain When the MAC is locked it is then assembled with its padded arms and applied Then the fracture is secured with cravats 1 Turn each of the knobs counter clockwise to unlock each of the rotatabl...

Страница 57: ...leg splinting Injuries at the knee should be splinted in position found Attempt to straighten a bent knee is only indicated if pulses are absent and leg straightening is possible without pain or resi...

Страница 58: ...tion of the knee The MFK700 The Minto Fracture Kit 5 Splint position for fracture dislocation knee injury 6 Place Tensor Cravats as shown Knee immobilized 7 Alternate splint placement Ankle Injury 8 S...

Страница 59: ...location of shoulder splinted in position found 2 Arm is immobilized Forearm Injury 3 Anterior view forearm injury 4 Splinted forearm Fractured Wrist or Forearm 5 Immobilized wrist or forearm Fracture...

Страница 60: ...taken without removing the splint Splint padding consists of closed cell foam Does not easily absorb fluids Compact robust and lightweight Easily stored or carried in most backpacks Folds into a 12 X...

Страница 61: ...Sager Emergency Traction Splints and the Minto Fracture Kit 59 Section Ten Appendix B Practical examination for use by MFK700 students Includestestpaperandacertificateforsuccessfulcandidates...

Страница 62: ...hout need of added stretchable cravats b under stretchable cravats c over stretchable cravats or d only to immobilize a struggling or uncooperative patient 4 It is vitally important to monitor the pat...

Страница 63: ...ent a infants children and adults b a child age 6 to an adult 5 10 c the 5th to 99th percentile of patients or d a and b 10 The fracture response MAC and padded outer shafts allow treatment of all of...

Страница 64: ...t the limb or d no more than five 16 It is important to splint in position found because a it is excruciating painful b the distal pulses are absent c the joint is locked and immobile d attempts to re...

Страница 65: ...arms should be lightly placed or centered over the fracture site and the arms aligned with each side of the fracture When applying the MAC it is important to make sure that the arms are applied paral...

Страница 66: ...en examinations in the use of the Minto Fracture Kit and meets all local state and federal requirements and certifications for use of this equipment Date awarded Awarded by name of EMS Instructor On b...

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