First Aid for Splints & Bleeding Wounds : How to Apply a Hip Sling

My name is Alv Rios and I am a paramedic with
Lansing Mercy Ambulance on behalf of Expert Village. In this clip we are going to go over
the splinting of a fracture to the hip. This will be my partner Jacob Barber. He is going
to help assist me through this. He also works with me as a paramedic for Lansing Mercy Ambulance
and he will be doing this on behalf of Expert Village. When dealing with a hip fracture
it’s important to know that this is very painful and there’s really no good way to go about
taking care of it at first. There is a lot of things we can do to help minimize the pain
but a hip fracture is very painful and can be a major life threat because your pelvis
can actually hold up to two thousand milliliters of blood which is enough to put most people
in shock. And they can die from it. So it is very important to take care or treat effectively.
When you come up to a hip fracture there is multiple ways to first determine how you are
going to take care of it. What we are going to use is a sheet. The goal of what I want
to do with the sheet is I would like to get the sheet underneath the patient in this area
right here. I want to get it so I can tie it around his hips and pull it in place which
is going to help support the pelvis in case there is any instability. That way pieces
aren’t moving around causing excessive pain. The problem coming into this is you can have
the injury in different spots. If it is located to one side then normally the foot will be,
the leg will be shorter or it will look a little bit longer and the foot will be rotated
different and the pain will be isolated to just one side. If that is the case and the
injury is only to his right side what we want to have is more people to help with the roll.
Let the patient know this is not going to be comfortable and it’s going to cause pain.
We are going to do this so we can help them in the long run. We want someone dedicated
to just stabilizing the leg so it does as little movement as possible. What you want
to do is get a sheet read to go at the time and you would do this by having as much as
you want over there and just bundling up the rest right here. What you then want to do
is you are then going to roll the patient onto his side. We can roll this way for the
sake of this clip. What you want to do is while still stabilizing the best you can get
this into position and roll him back nice and easy. What you now have done is gotten
the sheet to the other side. Another way of doing it is you can actually lift the patient
up if you have enough people to support. Again this is going to cause pain but this is going
to be the best you can do. So we are actually going to lift you up for a second and move
you over to the side for the sake of showing what we would do if we lifted you. There we
are. So once we have him centered on our sheet we have lifted and moved the patient where
we want. Normally we will do this right to the stretcher and have a sheet ready to go.
What we then want to do is get the sheet and what you are going to is tell the patient
that I am going to start pulling and I want you to let me know if this makes the pain
any worse but I also want you to let me know if this makes it any relief. You want a second
partner to come and grab the sheet slowly pull them together. Then while he pulls that
you are going at the same time when you work it together do one fluid movement and try
to tie the hips in place. What this now has created is a spot where you can actually help
lift the hips while other people lift. But more importantly it’s going to keep the pelvis
together and stable.

3 comments

  1. I was first on a motorcycle scene and from this video I now know he fractured his pelvis but he had so much blood coming from his mouth…I had to roll him over so he could breathe…it's vital to know any first aid. He died 12 minutes later and it still haunts me if I could have done better.

  2. You're not a God (if you're believer). You can't control who's gonna live and who's gonna die. You did the best you could and this is what really matters. At least you gave him that comfort before he died that someone took care of him. Even paramedic's can't save everyone and there's no way someone without propper equipment and paramedic level of knowledge can stop internal bleeding

  3. Yeah right. I WISH we got "bullshit calls." I work in a large metropolis where we get so gd many gunshot wound calls I'd just about die to get one that ISN'T as serious. I also work in a bad part of town but it seems to be happening all over the place. Anyone who thinks we don't have too many gsw's probably isn't a paramedic or they work in Mayberry RFD.
    I don't think like that anyway bc I saw my sister dying, saw paramedics save her life and wanted to do the work for that reason. It was pure and simple inexpressible gratitude. Not so I could do whatever it is people want who think all their calls are not serious want from their work.
    I always feel happy when I have a boring day but in the last month and a half I don't think I've had a single boring day to speak of. Too many gsw's, stabbings and all the other things that people think they just have to do to other people while maintaining that homo sapien is the master intellect of the animal kingdom.

Leave a Reply

(*) Required, Your email will not be published