Splints? Pain Killers?

Hltoppr

El Gringo Spectacular!
For a real spinal injury...you need a real commercial backboard. Best to hold c-spine until someone gets there with the right equipment, or be able to clear the injury using the appropriate wilderness protocol.

As for a SAM splint on a broken leg....can't see it being much use...too small and flexible. Maybe the dispatch is Moab has seen enough ineffective SAM origami to make 'em a bit wary....

-H-
 

kellymoe

Expedition Leader
Hltoppr said:
As for a SAM splint on a broken leg....can't see it being much use...too small and flexible. Maybe the dispatch is Moab has seen enough ineffective SAM origami to make 'em a bit wary....

-H-

I dont think Ive ever seen a SAM for a leg. Maybe for tib fib but I associate the SAM with arm fx's. Do they make SAM's for legs? At times I have used whatever was available, rolled up blankets, magazines and I used a raft paddle and ice axe once. Just need to be a little creative when it comes to wilderness first aid.
 

Hltoppr

El Gringo Spectacular!
I think you can get a 36" SAM splint, but again...not really too effective. I'd use one for a forearm/wrist injury, well padded, but that's really about it....

For leg fractures I'd much rather have a closed cell foam pad, old t shirts, and some webbing....

-H-
 

4Rescue

Expedition Leader
Hltoppr said:
I think you can get a 36" SAM splint, but again...not really too effective. I'd use one for a forearm/wrist injury, well padded, but that's really about it....

For leg fractures I'd much rather have a closed cell foam pad, old t shirts, and some webbing....

-H-

I agree about the Sam-splint, they're really better suited to upper extremeties. I find that they're also better when doubled over them selves to add more ridgidity, that makes it a bit tough when you're trying to imobilize long bones in the leg eh...

Duct tape is another thing that no wilderness operator should be without. Add that to your list and hell, you don't even need to go home, just crack a beer and relax ;)

Cheers

Dave
 

jeepmedic46

Expedition Leader
I agree csms are the important things. Do not understand why they would tell you not to splint the extrimiy with a sam splint. You can splint with anything in the wilderness. Unless it was a Femur fracture in which case you would need to stabilize with traction. IE: a hare traction or Kendrick device. As far as pain meds such as Morphine or Fentenyl you do have to be cautious and watch respitory rate and blood pressure. I work as a critical care technician and I carry Oropgarangeal and nasopharageal airways. bp cuff and a ambu bag. splinting equipment ie: sam splint, cravats and basic bandaging equipment. No ivs and no meds.:REOutIceFishing:
 

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