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Old 12-20-2007, 03:50 PM   #1
skyemt
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Hip Fractures


Hi all...

our community has a fairly large elderly population, and as you can imagine, hip fractures are all too common...

i'd like to know, especially from the more experienced providers, what your preferred method of immobilization is...

pain management is also an issue, as i've heard blood curdling screams from pt's with hip fractures...

thanks


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Old 12-20-2007, 06:01 PM   #2
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Take a look at this. I haven't actually seen one in use yet, just the promo literature, but looks wonderful to me.

http://www.armstrongmedical.com/ami/...19&itemid=2430

We have a gianormous vacu-splint which we have used to immobilize hip fractures. Also in a pinch, a sheet can be tied firmly around the hip area and will work at least until you have them on top of of vacu-spint or other immobilization device. Also seen mast pants used for hip fx immobilization.
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Old 12-20-2007, 06:33 PM   #3
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"...allows for safe application at the scene by ordinary EMS personnel."

what exactly the hell is that supposed to mean
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Old 12-20-2007, 08:37 PM   #4
Ridryder911
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One should recall the anatomy of what is really usually breaks in hip fractures. In most cases of hip fractures, the neck of the femur is the primary source, since it is the weakest point.

I was taught by an orthopedic surgeon many years ago the reason of severe pain was the ability of the ball and the femur had the ability to shift around.

I have found the Sam splint very helpful in those involve more a pelvic or acetabulam (cup portion that the ball fits into). One can make an improvised one with a towel rolled and placed under the ischium of the upper thigh, and a sheet (folded into length) and tied around the waist firmly. Decreasing the proximal end is the main goal.

For pain management, I prefer Toradol, low dose Morphine, Demerol, or Fentyl. One has to be cautious that a pelvic fracture is not involved as well. Remember, pelvic fractures usually occurs in "two's".

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Old 12-20-2007, 11:13 PM   #5
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Depending on the size of the patient you could use a KED.. (Obviously use it around the hip instead of being used for spinal immobilization.)

Havn't done it myself but heard about it in my EMT class a few years ago.

-Angie
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Last edited by emtangie850; 12-20-2007 at 11:14 PM. Reason: typo
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Old 12-22-2007, 11:02 PM   #6
rescuepoppy
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Hip Fracture

An inverted XP-1 works great to stabilize a hip fracture.
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Old 12-23-2007, 12:03 AM   #7
medic001918
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Quote:
Originally Posted by emtangie850 View Post
Depending on the size of the patient you could use a KED.. (Obviously use it around the hip instead of being used for spinal immobilization.)

Havn't done it myself but heard about it in my EMT class a few years ago.

-Angie
I use a KED often for hip fractures with great results. It provides a good support for the injury while allowing for a decent way to grab the patient. It's my preferred method for these calls actually.

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Old 08-04-2012, 07:49 PM   #8
Moshi
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I'm sorry to bump this old topic but can someone show me an example of how exactly do you immobilize hip fracture with KED?
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Old 08-04-2012, 10:33 PM   #9
leoemt
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I'm sorry to bump this old topic but can someone show me an example of how exactly do you immobilize hip fracture with KED?
Turn the KED upside down.

A sheet slid under the patient and knoted works great, thats what we do around here. Even the hospitals do it. No special splints for us.
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Old 08-05-2012, 12:35 AM   #10
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Also, don't forget about the scoop stretcher to move these patients from the ground and then to the hospital bed!
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