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NREMT Practical Skills HowTo Extremity Splinting Ankle
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Continuing with our series on NREMT Practical Skills we explore extremity splinting more with a focus on lower extremity injuries in the ankle. Learn more or sign up for a class: http://bit.ly/bpm59715 • Miles shows how to properly immobilize an ankle using multiple splinting techniques and materials. When splinting the major principles of manual stabilization and CSMs before and after apply to any and all splinting methods. • Subscribe to our channel for more weekly content, and comment below what kinds of videos you would like to see. • == • Transcript: • Morning. This is Miles with Best Practice Medicine. This is another in our video series covering extremity immobilization and splinting. In this and the next few videos we'll be covering immobilization of the lower extremities, including hips, knees, ankles, and feet, and the upper and lower legs. • The topic of today's video is immobilization of the ankle. Remember, with this and every other splinting intervention, the first step is manual stabilization of the injured part, and the whole intervention is book-ended by assessment of the patient's circulation, sensation, and motion. • Splinting material options for the lower extremities include SAM splints, Coban, ACE wraps, cravats, towels or rolls for padding, and padded board splints, which is a commercial device with a rigid board and padding on one side so it conforms to the patient's anatomy. • When manually stabilizing and immobilizing an injury, remember to stabilize above and below the injured part. Ideally, a position of function in the foot will be maintained, which is this neutral anatomic position. However, for an injury to the joint, we are not permitted to attempt realignment. • First we'll perform or direct manual stabilization of the injured extremity. Normally, we'd have an assistant do this, but so you can see clearly what we're doing, we'll verbalize that for this video. Then we'll assess the patient's CSMs. Next, we'll select the proper splinting material. For an ankle you could use a SAM splint, padded board splints, a soft splint, or other improvised material. • Next, you'll form the splinting material to match the patient's anatomy, then secure the splinting material using ACE bandage, Coban, or other wrapping material. Remember that the strength of the SAM splint comes from the cylindrically shaped channels, so to build a strong splint carefully form the splinting material to the patient's body to ensure structural integrity. • Select the proper splinting material and position it next to the patient's body. Can I have you hold this there for me? Thanks, man. It's important to pad any voids. I'm actually going to take this one away. • After immobilization's complete, finish up by rechecking the patient's CSMs. What toe am I touching? • Middle toe. • Can you wiggle them for me. Any numbness or tingling in there? • No. • No. Do a pinch. If you weren't wearing a sock, I could check your capillary refill. • Thanks for tuning in to BPM TV. As always, we hope you found this video informative and useful to your clinical practice. Tune in next time for more on extremity immobilization. Always, thanks for watching.
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