Splinting Practice
Saturday January 31, 2004
starting at 9 am
Fire Station 5, next to Dewitt Park

x marks the Hillsdale NET staging area
behind the bleachers at Wilson High School

January 31, 2004
Twelve NET team members showed up from 6 different NET teams.
and general response to injuries
with Lt. Kevin Shanders
Portland Fire Bureau

TRIAGE:  then...

Then we make a general assessment: A (airway), B (bleeding), C (circulation)

Followed by a whole body assessment -- head to toe.

Find fractures, internal injuries, external bleeding.  Look for signs of shock, head injuries, internal bleeding.  Note breathing, pain, rigidity, swelling, discoloration, dislocation, medi-alert bracelets, etc.

Under the experienced eye of Kevin Shanders, the NET members gain a bit of that knowledge which comes from experience.
Here we had a virtual amputation.  The bleeding would soon be fatal.  A tourniquet was necessary.  Materials were found in a junk pile in the garage.  Rags, pieces of pipe, scraps of wood, pieces of Romex house wiring, etc.  All were potential life-savers ("junque"). 
A fractured tibia.  Cardboard from the garage was fashioned into a firm splint and fixed into place with masking tape.  A similar splint was made for a suspected broken ankle .
More fractures.  Duct tape performed its all-purpose function.
However,...see below.
A sling for a fractured arm to support and help immobilize
A fractured femur:  The victim was in great pain.  Pulling hard on the ankle put traction on the leg and greatly alleviated the pain...and would soon relieve the tetanus in the leg muscles.  A slat in a nearby fence was torn out of place and used for the splint.  Several volunteers were recruited to roll the victim up and slide the fence slat under the injured leg--while the leg puller directed the operation to assure fast, precise, coordinated movements.  
Duct tape gives.