As an EMS professional you’re trained to immobilize knee dislocations and lower extremity fractures regardless of how awkward they may look or how difficult it may be. As a significant part of this reality, the knee joint must always be “frozen” in place, because it is either the injury site, or the joint above or below the injury site. Of course this also includes the fixation of injuries prior to extrication where uncontrolled movement can have its most damaging and unpredictable effects. Like many of the things “you’re supposed to be doing”, it’s much easier said than done. In developing the Reel Splint ImmobilizerTM we considered this a major problem to solve. It was finally time to get to work and… create a tool to get the job done!
In developing the Reel Splint Immobilizer™ we considered this a major problem to solve. It was finally time to get to work and… create a tool to get the job done!
We now know the overall stabilization of the lower extremity is much more important than previously considered. Some of us are surprised to learn, it is a skill set vitally important to your patient’s outcome and general morbidity (see A.J. Heightman’s JEMS “Articulation Knee Injuries” July ’04). It is here a renowned author points out what we professionals sometimes don’t appreciate: the “uncontrolled” manipulation or reduction of an injured knee or angulated lower extremity is dangerous and commonly induces greater pain and sometimes permanent injury.
Your orthopedic surgeon or emergency room personnel recognize many of these facts; as they prefer to see injuries delivered in the “original” position encountered. They know the patient’s “mechanism of injury” can be better determined prior to interventional and “controlled clinical reduction” in a “controlled clinical setting.” As field medics, your uncontrolled manipulations or expedient field reductions are what you want to avoid whenever and wherever possible. You’re also encourged to stabilize “above and below” all injury sites. Why is this so important? Some of us don’t know, or forget about, a common problem called “foot drop syndrome”. Foot Drop is a significant and common field result associated with increased patient morbidity (again, see A.J Heightman reference listed above). Avoiding Foot Drop means you must routinely secure the joint distal to any injury (more commonly the ankle below the knee). If you are not getting this done routinely, an important element of patient care is not being fulfilled.
The Reel Splint Immobilizer delivers on all these, and many more, time-honored splinting practices. At last, you’ll be able to splint routinely in an effective manner – “in the presenting position” – more quickly and effectively then ever thought possible. You’ll have our complete assurance as well as your own, that your pledge to deliver the most effective “standards of care” will be met; but more importantly you’ll be making a big difference.
There’s much more to the Reel Splint Immobilizer and we invite you to view our US Army training video online or via CD-ROM, as well as other important clinical material. You also might want to ask some of our best customers about the Reel Splint Immobilizer: The US Army, Navy and Marine Corps, Canadian Forces SarTec, British Royal Marines and many more.
Finally, consider how the Reel Splint Immobilizer can save valuable equipment dollars. You’ll be able to eliminate those costly rolls of cling, tape and other makeshift splints. Over time our quality reusable splints can add up to big money savings on these disposable materials. Customers report Reel splints in service for 10+ years or more over hundreds of applications.
Other beneficial and important Reel Splint Immobilizer features to consider:
- EXTRICATION HANDLES – ideal for patient and extremity management
- WOUND VISULIZATION AND TREATMENT – unique strap design allows complete and total access
- LIMB REPOSITIONING – adapts readily for patient comfort or neuro-vascular restoration
- FOLDING DESIGN – for storage, autoclavable as well.
Splint Hybrid System
This version of the Reel Splint ImmobilizerTM has a unique twist. Two snap ring twist “Quick Disconnect” sleeves are positioned at the bottom or distal end of the splint. These sleeves allow the Reel’s exclusive traction ratchet to be inserted into the distal portion of the splint. With the immobilizer component in the straight and neutral position, the ratchet can then be connected; thus creating the world’s most highly effective long bone traction splint. In this traction configuration there are two vitally important developments incorporated into the splint’s design.
ANATOMICAL PIVOTING ISCHIAL PAD: This assures proper alignment at and with the patient’s “ischial pathway angle.” Pivoting left or right, the ischial pad can be situated with proper and complete consideration of delicate proximal injury sites. The majority of femur fractures occur in this upper third portion of the thigh making this a major concern; especially in older 60’s style traction splints still widely used today. Take a look in your splint compartment, and you might just find one of these traction relics still “hanging” around.
POSITIVE MIDLINE “POF” (What is it and why is it important?): POF allows the knee to be slightly flexed and supported at an angle that emulates the patient’s natural anatomical “position of function” (or POF). This is highly beneficial in achieving proper natural limb alignment during traction while positively effecting nuero vascular integrity. This has become SOP (standard operating procedure) for many high profile EMS providers.
LOGISTICS & DEPLOYMENT BENEFITS MAKE US A MILITARY FAVORITE: The combination of the Reel splint and traction ratchet are favorites of military customers worldwide. Highly deployable, logistics friendly and totally self-contained… bottom line: carry this UNIVERSAL version of the Reel Splint and you’re done!
The Reel Tactical System – Traction Ratchet
The Reel Splint Tactical System Traction Ratchet makes the Reel Splint Immobilizer the ONLY splint that does it all. Our radically redesigned ratchet attachment provides the following benefits:
- The elevation stand is “pin” free. This makes stand deployment, storage retractions and replacement simple.
- Single-hand ratcheting control; one medic can control both mechanical traction application and patient manual traction at the same time.
- Safety “traction lock”: When engaged, this lock feature disables the traction ratcheting knob, preventing any accidental loss of traction.
- Reel’s “One size fits all” ankle hitch: Over 20 years ago Reel was first to introduce a “one size fits all” design. EZ-HITCHTM saves you time, money and training, while providing a significantly improved neutral foot position result. The smaller profile “wrap around” design leaves pulse points needed for patient monitoring accessible.