Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? That Is the Question

Runcie, Harriet; Greene, Mike

doi:10.1016/j.wem.2015.01.006

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…Through surveys, ref [45] analyzed the equipment of medical backpacks in MR operations and pointed out several important selection criteria, with a special focus on equipment properties and quality standards. Others have further recognized equipment weight as important in this context [46][47][48]. In detail, ref [46] assessed MR casualty bags using an experimental evaluation process with a special focus on applicability in cold and windy environments.…”

Section: Related Workmentioning

confidence: 99%

“…Aside from the light weight, the equipment should furthermore be easy to use and be able to transport and feature a high payload. In the usability assessment of specialized medical equipment, ref [48] identified, through questionnaire analysis, the weight of the equipment and the time taken to apply it as important factors for an eventual equipment selection.…”

Section: Related Workmentioning

confidence: 99%

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Selecting E-Mobility Transport Solutions for Mountain Rescue Operations

et al. 2020

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This study introduces e-mobility for humanitarian purposes and presents the first investigation of innovative e-mobility transport solutions (e.g., e-bike, e-stretcher, and drone) for mountain rescue. In practice, it is largely unclear which e-mobility transport solutions might be suitable and what selection attributes are to be considered. The subsequent study supports the technology selection process by identifying and measuring relevant selection attributes to facilitate the adoption of e-mobility in this domain. For the purpose of this study, a multi-method research approach that combines qualitative and quantitative elements was applied. In the first step, results of a systematic search for attributes in literature were combined with inputs gained from unstructured expert interviews and discussions. The perceived importance of the identified selection attributes was then measured by analyzing survey data of 341 rescue workers using the best-worst scaling methodology. Finally, the results were reiterated in another expert discussion to assess their overall validity. Study results indicate that e-mobility transport solutions need to primarily enhance operational performance and support the safety of mountain rescue personnel. Surprisingly, economic and sustainability aspects are less of an issue in the process of technology selection.

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Section: Related Workmentioning

confidence: 99%

Section: Related Workmentioning

confidence: 99%

Selecting E-Mobility Transport Solutions for Mountain Rescue Operations

et al. 2020

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“…None of the identified literature discussed why responders did not apply traction splints when indicated. Despite similarly low rates of application, a survey of pre-hospital practitioners found that they viewed traction splint use as only mildly or moderately problematic, suggesting there is a disconnect between perceptions and practice (18).…”

Section: Inappropriate Applicationmentioning

confidence: 99%

“…To date, there has been no published systematic review on the pre-hospital use of traction splints. Pre-hospital practitioners are infrequently exposed to femoral shaft fractures (18), and despite the wide use of traction splints, there appears to be questions regarding the evidence supporting their use (16). This comprehensive systematic review will attempt to determine if the use of traction splints in the pre-hospital management of patients with femoral fractures reduces the complications compared to traditional splinting.…”

Section: Introductionmentioning

confidence: 99%

Are you Pulling My Leg? Does the Use of Traction Splints in the Pre-Hospital Management of Patients with Femur Fractures Reduce the Complications Compared to Traditional Splinting?

Syme¹

2020

Australasian Journal of Paramedicine

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IntroductionFemoral shaft fractures are a serious but infrequently seen injury in the pre-hospital environment. Management of these fractures includes immobilisation, analgesia, fluid administration and appropriate conveyance. Despite traction splints being widely used since World War I, there has been no systematic review published to date. In order to support evidence-based practice this systematic review will attempt to determine if the use of traction splints in the pre-hospital management of patients with femoral shaft fractures reduces the complications compared to traditional splinting. MethodsA systematic review using the MEDLINE database (1946 to 27 August 2019) using a combination of keywords and medical subject headings. The reference lists of all relevant papers were reviewed to identify further papers. The title and abstracts of all records retrieved by the search strategy were reviewed by one independent author to identify potentially relevant papers. All potentially relevant papers were read in full text. ResultsA total of 42 papers were identified from the search strategy; 10 met the inclusion criteria and informed the results of this paper. Five key themes were identified: inappropriate application; on-scene times; effect on pain; vascular complications; and nerve complications.ConclusionTraction splints are frequently applied incorrectly but no statistical increase in on-scene times was found. A statistically significant decrease in the need for blood transfusions was demonstrated with the application of a traction splint.

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Wilderness Medicine

Alexander

Bright

Burns

et al. 2016

Medical Clinics of North America

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Wilderness medicine encompasses prevention and treatment of illness and injury, education and training, emergency medical services, and search and rescue in the wilderness. Although traumatic injuries, including minor injuries, outnumber medical illness as the cause of morbidity in the wilderness, basic understanding of the prevention and management of injury and illness, including recognition, identification, treatment, initial management, and stabilization, is essential, in addition to the ability to facilitate evacuation of affected patients. An important theme throughout wilderness medicine is planning and preparation for the best- and worst-case scenarios, and being ready for the unexpected.

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Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? That Is the Question

Cited by 6 publications

References 19 publications

Selecting E-Mobility Transport Solutions for Mountain Rescue Operations

Selecting E-Mobility Transport Solutions for Mountain Rescue Operations

Are you Pulling My Leg? Does the Use of Traction Splints in the Pre-Hospital Management of Patients with Femur Fractures Reduce the Complications Compared to Traditional Splinting?

Wilderness Medicine

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