First Aid for Splints & Bleeding Wounds : How to Use a Splint on a Long Bone Fracture

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
long bone fractures. This is my partner Jacob Barbor, he’s also a paramedic working for
Lansing Mercy Ambulance Service on behalf of Expert Village and he is going to be assisting
us in this. In this clip we are going to say that he has a fracture to his right elbow.
So first thing you want to do is as we talked about earlier you want to go ahead and immobilize
the limb keep it form moving. You want to check for a pulse. Can you wiggle your fingers
for me? And without looking at me which finger am I touching? Ring finger alright. What you
want to do is now turn this over to someone that can help immobilize this and keep it
in the position that you found it in. You then want to select an appropriate size splint.
Because the fracture is to the elbow we are going to choose to use an arm splint like
this cause what we have to do is immobilize both the lower and upper arm. So while my
partner would still be stabilizing the arm you want to work together to move the splint
into position. Make sure you pad any voids that you have. Sometimes there is a little
space below the elbow. If you have to put a little bit of a towel under there. What
you now want to start doing is start securing the splint. You want to make sure you have
it in a tight position, however not enough to start putting any pressure on the injury
site. I am going to avoid putting this strap on because that is going right over the actual
injury site. Once I have the splint in place I want to make sure that I have left myself
enough room to be able to check for a pulse again. Can you wiggle your fingers for me?
And which finger am I touching? Alright you now have the limb immobilized you can now
put it in a position of comfort for the patient and be careful not to cause any excessive
movement. This should now reduce blood flow and pain to the patient.


  1. Maybe people would have LESS of a problem if they didn't think one video is going to make them know how to do our gd job.

  2. If you tried to use the principles of the splint in this videos without it being a commercial splint you'll have trouble. The splint he's using is a commercial splint, meaning a certain company makes it. Like Urias, but this is not a Urias splint. We use them on our ambulance. They're positively wonderful to the person with the injury because they're air splints. I had one on when I thought I broke my ankle and it stopped the pain almost immediately.

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