1. style and fashion
2. accessories
3. ties

OECTools Class #10196
Splints
Anterior Shoulder Dislocation Splint: Pigs in a Blanket .................................................... 2
Bent Knee Splint: Flag Fold ............................................................................................. 18
Clavicle Splint: Figure 8 Cravat ....................................................................................... 33
Elbow Splint: Chopsticks.................................................................................................. 40
Humerus Splint ................................................................................................................. 53
Posterior Shoulder Dislocation: Airplane Splint............................................................... 86
Sager Traction Splint: Mid Femur Fracture ...................................................................... 98
OEC Tools Class #10196 – Splints
Page 1
Anterior Shoulder Dislocation Splint:
Pigs in a Blanket
Setup the Pigs.. Fold a blanket into quarters.
You need 4 cravats. Tie two together and leave
two others. This is where it’s important to identify
your cravats. The “super long” cravat is usually
easy to tell. Just tie knots in the ends of one of
the other cravats, or number the ends etc etc.
OEC Tools Class #10196 – Splints
Page 2
Roll up the pigs into the blanket.
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Page 3
The blanket will unroll in one direction. Make
sure you put the part which unrolls, toward the
patient’s chest. Imagine you are going to roll the
wrap over their head. If you put it on their chest
and can unroll it over their head you’ve got it
correct. If on the other hand you start unrolling
toward their feet, you’ve botched it. You’ll see
why..
OEC Tools Class #10196 – Splints
Page 4
Anterior Shoulder dislocation. Check CSM
before and after splinting.
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Page 5
Patient cannot lower their shoulder. Just insert
the pigs in the blanket and have the patient hold
them in place supporting their injured shoulder.
OEC Tools Class #10196 – Splints
Page 6
Tie one set of short cravats into a sling on the
patient’s back side using a square knot.
OEC Tools Class #10196 – Splints
Page 7
Tie the second short cravat around the patient’s
waist. But use a bow tie. We’ll be coming back
to this knot to pull it tighter shortly.
OEC Tools Class #10196 – Splints
Page 8
Return to the front of the patient and fold the
long cravat coming out of the blanket from the
patient’s right side back over the injured arm and
over the blanket for now.
OEC Tools Class #10196 – Splints
Page 9
Twist the two cravat’s together and send one
down along the patient’s chest between the
blanket and his chest. The other cravat just
hangs down over his arm for now. Think of this
as being the bottom side of a present, which
you’re attaching a ribbon to. Doesn’t matter
which one goes where, one needs to go down
between chest and blanket.
OEC Tools Class #10196 – Splints
Page 10
Tucking the cravat in between the chest and the
blanket is only possible if you put the blanket roll
on the patient properly..
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Page 11
And what do you know, out pops the cravat on
the bottom!
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Page 12
Now just tie the two “long” cravats together
using a square knot.
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Page 13
If you have “excessively long” cravats, you might
have some “extra fluff”..
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Page 14
Go back to the back of the patient and undo the
bow tie you did.
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Page 15
Ask the patient to take a deep breath and let it
out. When they let it out, tighten the cravats and
this time tie a square knot.
OEC Tools Class #10196 – Splints
Page 16
Completed Splint. Check for CSM and you’re
done!
OEC Tools Class #10196 – Splints
Page 17
Bent Knee Splint: Flag Fold
Fold a blanket into quarters. Not thirds, but
quarters.
OEC Tools Class #10196 – Splints
Page 18
Fold over the end and start “flag folding” the
entire blanket.
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Page 19
Continue the flag fold till you get to the end of
the blanket.
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Page 20
Tuck the final part of the blanket into the fold.
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Page 21
Get copious amounts of duct tape and secure
the blanket into it’s form.
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Page 22
Patient’s knee is “locked” in the bent position.
They cannot move it.
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Page 23
Put the flag fold underneath their leg for support.
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Page 24
Some settling will occur on the blanket, but the
duct tape will help it maintain it’s form. Secure
the patient’s ankles together with duct tape to
help support the knee.
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Page 25
Taping over clothes is usually fine, but if there is
an issue, stick some carpet padding in.
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Page 26
Lay out 3 cravats as shown. You’ll be using two
to tie to the patient’s leg and the third will pull the
two cravats together.
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Page 27
Pull the cravats under the patient’s knees and
up over the injured leg.
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Page 28
Pull the cravats up between the patient’s legs.
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Page 29
Tie one cravat on the thigh. The other on the
tib/fib.
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Page 30
Now tie the third cravat together to pull the two
cravats securing the entire package together.
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Page 31
Check Distal CSM once more and you’re done!
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Page 32
Clavicle Splint: Figure 8 Cravat
“Dude” in obvious discomfort. Check distal CSM
on the injured side.
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Page 33
Start by tying two cravats together with a square
not.
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Page 34
Put the knot in the center of the patient’s back
and run one end of the cravat in front of the
patient’s right arm.
OEC Tools Class #10196 – Splints
Page 35
Run the other end of the cravat under and then
over the patient’s left arm.
OEC Tools Class #10196 – Splints
Page 36
Tie the two ends of the cravats together with
another square knot. As you pull them together,
you’re pulling the clavicles back into position and
splinting the injury.
OEC Tools Class #10196 – Splints
Page 37
Notice how the shoulders are lifted back and
away re-seating the clavicles.
OEC Tools Class #10196 – Splints
Page 38
Finish the splint by tying off the two cravats. Try
to get them away from the center of the
shoulder, but it’s a given that this person will be
riding the toboggan down in a chaise lounge.
Check distal CSM on the injured side once
again.
OEC Tools Class #10196 – Splints
Page 39
Elbow Splint: Chopsticks
Setup the splint. Start first by optionally marking
the midpoint of the cardboard.
OEC Tools Class #10196 – Splints
Page 40
Score the cardboard by cutting through one
side, being careful to not create a second patient
by avoiding cutting yourself!
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Page 41
Turn the cardboard over and fold it. Cut it
through to the other side and Wa-la!.
OEC Tools Class #10196 – Splints
Page 42
Fold the two pieces of cardboard into small
triangles, and tape them at least in 4 positions.
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Page 43
Patient will present the injury as being unable to
move the elbow at all. Go to skin. Check CSM.
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Page 44
Stick a cravat over the elbow for now...
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Page 45
Bring over the cardboard splints and measure
for size. Do not disturb the elbow. Mark with
your sharpie where you need to cut the back
ends off. Only make one cut off the back.
OEC Tools Class #10196 – Splints
Page 46
Remove the cardboard from the patient and
cut the splints to size.
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Page 47
Bring the splints back to the patient and get their
help in stablizing them.
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Page 48
Tie the two splints together with the cravat so
the splints are held in place.
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Page 49
Tie the two splints together over the wrist to
secure the splint over the wrist.
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Page 50
Tie the two splints together over the shoulder to
apply pressure and lock the elbow in place.
Might want to “notch” the splint to keep the
bandages from sliding off if that is a problem. It
wasn’t here.
OEC Tools Class #10196 – Splints
Page 51
Tie the entire splint to the patient’s chest if you
have enough cravat left. If not, make a sling and
swath. Check CSM and you’re done.
OEC Tools Class #10196 – Splints
Page 52
Humerus Splint
Injury is typically presented as self splinting.
Position of comfort.
OEC Tools Class #10196 – Splints
Page 53
Measure the splint near the patient’s arm for
best fit. Bend over the top corner so the splint
rests comfortably in their arm pit.
OEC Tools Class #10196 – Splints
Page 54
Apply the splint so that there is about 2 fingers
worth of space under the elbow. Make certain
the SAM is rigid by making aggressive folds on
the “sugar tongs”.
OEC Tools Class #10196 – Splints
Page 55
Always get the patient’s help if possible.
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Page 56
Start securing the splint with roller gauze on the
wrist. Start with a “Tail”…..
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Page 57
Secure the “Tail” and start a figure 8 wrap
around the splint.
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Page 58
This is a splint, make sure it is securely held in
place by twisting bandages, no less than every
other wrap.
OEC Tools Class #10196 – Splints
Page 59
Your goal is to get to the top of the splint which
is covering the joint as quickly as possible. To
do this, you will NOT be over-wrapping the
bandage as you go up. Leave gaps.
OEC Tools Class #10196 – Splints
Page 60
Remember to twist to secure the bandage in
place on the splint.
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Page 61
Once you reach the top of the splint, go over it
with the roller gauze and start back down again.
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Page 62
Fill in the gaps which you created on the way up
the arm, remembering to twist the gauze to
make it secure.
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Page 63
When you get back down to the forearm again,
you might want to add a second roller just to
fully secure the splint.
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Page 64
Start another “Tail”…
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Page 65
Secure the “Tail”.
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Page 66
Start figure 8 wrapping around the arm and the
humerus again.
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Page 67
Go back up the arm one more time, filling in any
spots which are not covered/secured.
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Page 68
Remember to twist the friggin’ roller!!
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Page 69
There you go!!
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Page 70
Over the top again..
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Page 71
Finally, back down the arm again…
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Page 72
If you don’t have enough left to tie it off, just use
Tape, but make sure you use enough to hold it
into place.
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Page 73
Tape really only will stick to itself when it’s wet
out, so you need to carefully circle the arm
making sure you’re not cutting off the circulation.
(Don’t wrench it down).
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Page 74
Completed splint.. This splint easily will pass the
“rub test” meaning you can run your hand up
and down it and it won’t come apart or loosen.
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Page 75
Always remember to check CSM before and
after splinting.
OEC Tools Class #10196 – Splints
Page 76
Get the patient to help while you get your
“monster cravats” out.
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Page 77
Tie a not in the corner of the sling (at end of
triangle).
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Page 78
Pull up the sides.
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Page 79
Square not in the back, try to get it to the side of
the patient so they don’t sit on the knot when
riding down in the sled.
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Page 80
Patient no longer needs to support injury once
it’s in the sling.
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Page 81
Use a second cravat for a swath. However, open
up this cravat double-wid so that the force is
distributed evenly over the injury.
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Page 82
Opening the swath wide allows you to secure
the sling to the patient without causing pain on
the injury site.
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Page 83
Square not in the front for patient comfort.
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Page 84
Completed splint with sling and swath.
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Page 85
Posterior Shoulder Dislocation:
Airplane Splint
Setup the splint. Tape the cardboard into a large
triangle in at least 3 places. Don’t worry about
where you tape for now. We’ll fine tune that
later.
OEC Tools Class #10196 – Splints
Page 86
Patient will present themselves with dislocation
which prevents them from lowering their arm.
First priority, check for bleeding by going to skin
and then check CSM.
OEC Tools Class #10196 – Splints
Page 87
Secure the arm to the head using a figure 8
bandage of the head and the wrist.
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Page 88
Tie a cravat around the patient’s waist and then
bring in the cardboard. Insert the cardboard into
the waist strap and check for alignment. Use
your sharpie pen to mark the angle of the arm
which you want to replicate.
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Page 89
Use your sharpie to draw in the other side of the
cut. In this instance we need to add more tape
otherwise we’ll cut away almost all the holding
force of the existing tape.
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Page 90
So no big deal, just add another tape band to
the splint.
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Page 91
After cutting the splint, just open the top of it.
You also want to make a “notch” in the side of
the splint to keep your cravat from sliding down
the splint.
OEC Tools Class #10196 – Splints
Page 92
Put the splint on the patient at the waste and
then attach a sling around the chest to hold it in
place and support the arm. Lock this cravat into
the notch that you cut on the side of the splint.
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Page 93
The splint portion which covers the arm, ought to
be cut to size. Since it’s on the patient, you
cannot use your knife, but paramedic shears are
fine. Just mark a line with your sharpie and then
cut it off.
OEC Tools Class #10196 – Splints
Page 94
Wa-la!
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Page 95
Now secure the arm in place with another roller
bandage and you’ll be set. Ideally we should
add carpet padding if we have it to make the
best fit possible.
OEC Tools Class #10196 – Splints
Page 96
The completed splint supports the patient’s arm
in the position found. There is nothing to sling
and swath. It’s already packaged to go into the
toboggan sitting in a chaise lounge. Just check
CSM once more and you’re good to go.
OEC Tools Class #10196 – Splints
Page 97
Sager Traction Splint: Mid Femur
Fracture
Sager bi-lateral traction splint comes with 4
bands: 2 short, one medium, one large and one
huge. Since it’s bilateral, it has two booties.
One for each foot.
OEC Tools Class #10196 – Splints
Page 98
Bilateral sager never needs to have the head
reversed, but it is useful to make sure the D
rings are both at the top of the splint and that the
bottom flexes.
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Page 99
Put the splint between the patient’s legs and ask
them to pull it into their crotch as far as they can.
For guys, make sure the make the necessary
“adjustments”.
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Page 100
Try to get the sager belt as high on the top of the
thigh as possible. It’ll slip down somewhat as
you tighten it so the higher you start up the
better off you will be. As you tighten, pull from
the bottom to get the splint to curve over under
the leg.
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Page 101
The booty goes over the foot for ski boots (as
shown here even though we don’t have ski
boots on the patient – course this patient never
has ski boots on..)
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Page 102
Attach the sager booty to the bilateral splint.
Make sure there are no twists in the belt.
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Page 103
Tighten the booty until one of two things occurs:
1) 1) Bottom of sager is directly beneath the
foot.
2) 2) All slack comes out of the strap
It’s important to not over-tighten the strap as this
will put traction on the leg.
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Page 104
Pull traction by:
1) 1) Pushing with one arm on the splint into
the patient’s crotch.
2) 2) Pulling on the handle one click at a time.
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Page 105
Read the traction setting – black readings are in
lbs, red are in kg. Make sure you pull lbs..
Maximum traction applied to a single leg should
be 15 lbs. Or 10% of body weight – whichever is
LESS.
Maximum traction applied to dual lets should be
30 lbs or 20% of body weight – whichever is
LESS.
OEC Tools Class #10196 – Splints
Page 106
All sager belts will be threaded under the gap in
the knee. Grab the large sager belt and bring it
through. Be careful with the belts to keep the
snow out of the Velcro otherwise it will not work.
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Page 107
Position the large sager as high on the leg as
you can get it and securely fasten it to the leg.
It’s perfectly fine for Sager belts to go over the
injury. It helps secure the injury and adds direct
pressure to help control bleeding.
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Page 108
Bring the next short belt under the knee just like
the first belt.
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Page 109
Depending on patient, position this belt above
the knee or below the knee. It’s important to not
put it over the knee.
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Page 110
Position the third sager belt under the knee.
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Page 111
Attach the third sager belt just above the booty
on the lower leg.
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Page 112
Cravat the legs together by running a cravat
under the ankles – just like we do for
backboards.
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Page 113
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Page 114
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Page 115
Bring the Huge sager belt under the knees of
both legs.
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Page 116
Secure both legs together with the huge sager
belt. In the case of a bilateral injury, you would
hook up the second booty prior to pulling
traction. You’d use 3 sager belts on the limb
which was injured the most severely and then
wrap the big belt at the end around both.
OEC Tools Class #10196 – Splints
Page 117
Finally, check distal CSM and you’re done..
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Page 118