Articulating tactical traction splint use on pulseless forearm fracture

Area of Science:

• Orthopedic medicine
• Emergency medical services
• Tactical medicine

Background:

• Forearm fractures present significant challenges in pre-hospital settings, especially during complex rescues.
• Maintaining distal perfusion is critical for limb viability following fracture.
• Standard traction splints may be cumbersome in confined spaces.

Observation:

• An articulating tactical traction splint was utilized in a confined space rescue scenario.
• The splint was applied to a patient with a pulseless forearm fracture.
• Peripheral perfusion was monitored throughout patient transport.

Findings:

• The articulating tactical traction splint successfully maintained traction on the pulseless forearm fracture.
• Good peripheral perfusion was preserved during transport, indicating effective limb stabilization.
• The splint facilitated a single rescuer to manage other critical aspects of multisystem trauma.

Implications:

• This case demonstrates the utility of specialized tactical splints in challenging rescue environments.
• Effective traction and perfusion maintenance can improve patient outcomes in tactical and austere settings.
• The device allows for efficient resource allocation by enabling single-provider management of complex trauma.