Applying of firm bandages Kramer's splinting

In a clinical practice use standard universal metal splints which are made of iron, steel or aluminium in the form of lattice constructions and are termed Kramer's to splints. They lungs, have greater strength, and pliability that allows to attach them any shape.

Kramer's splints happen two dimensions (110х10 sm and 60х10 sm). As a result of simplicity and ease of applying they irreplaceable for a temporary immobilization at fractures, and sometimes and for a medical immobilization.

For a transport immobilization at damages of a brachium expediently to use Kramer's splint in the dimension 60 х 10 see Sometimes it is necessary to apply instead of one splint 2 and more, having simulated them according to the defective extremity.

By granting first aid by the victim with fracture of a humeral bone it is necessary to consider, that the correct standing of fragments will be reached at abduction of a brachium from a trunk with its elongation on an axis of the central fragment. It is necessary for regarding at an immersion of an extremity on the scalene splint which prestressly simulate on itself or on an able-bodied extremity of the victim if its state allows. The splint обкладывают cotton which fix bandage. To top end of the splint adhere in gauze strips in length on 75 see the Splint it is necessary to reinforce and humeral and ulnar joints.

The splint simulate thus: apart, which is equaled to length of a forearm of the victim, it incurvate at right angle, then other hand take for the second end of the splint, bend down it to a back and, lean on a table, give the splint the necessary shape.

After that the splint lean to the defective extremity such a fashion that the hand has been incurvated in a ulnar joint at right angle, in a shoulder joint forward approximately on 30 from the frontal plane the brush was in a state of a back flexion in a radiocarpal joint. In field of an axillary trough the gauze platen which is necessary for reinforcing bandage through an able-bodied brachium is recommended to figure. In a palm of the suffered hand it is necessary to enclose a wadded globule to give dactyls half-bend standings.

The ends of the gauze strip adhered to top end of the splint, adhere to the opposite end of the splint on a forearm. Finish splint additional courses of bandage around of a trunk and an extremity or an immersion of an a hand on a kerchief.

At the open fractures of extremities with wound of the soft tissues all over again it is necessary to impose on a wound an aseptic bandage, and then - the splint.

At fractures of the inferior third of brachium or bones which form a ulnar joint, the splint should trap a brachium, a forearm and a brush to radiocarpal joints. An arm hang on a kerchief.

At localization of damage to a field of the upper or medial third of forearm Kramer's splint impose on exterior unbed surfaces from the middle of a brachium to radiocarpal joints. An interior surface of the splint prestressly cover with cotton. The upper extremity should be incurvated in a ulnar joint at right angle, and the forearm to be in a state, medial between a pronation and a supination; the brush should be returned by a palm to a abdominal in a standing of an easy extension. The splint bandage to an extremity bandage, and an arm hang on a kerchief.

At damage of a skull and a cervical department of a column the head and a neck can be fixed also by means of Kramer's splint. A necessary immobilization reach by means of two splints. One splint coats both brachiums, auricles and темя. Other splint transits on a back between scapulas on a nucha, is crossed with the first on темени and comes to an end on forehead. Both splints are bound among themselves by bandages.

For a transport immobilization at damage of the inferior extremities at lack of splint Diteriksa it is possible to use Kramer's well simulated splints.

At fractures of a femur take 3 scalene splints, the dimension 110х10 sm, 2 from which bind so that one splint which is equaled longwise distances from an axillary trough to interior edge of a foot of the defective extremity splint was formed. This splint curve from exterior edge of stack through a sole. The second splint (short) impose from a cluneal cord to ends of dactyls on a back surface of the defective extremity to a heel where bend under a sole at right angle and pick up a flexure of the long splint, as a stirrup. For greater strength it is possible to impose still Kramer's third splint on an interior surface of an extremity from a perineum to interior edge of stack. Before a splinting it is necessary to coat fields of joints and osteal prominences a heavy film of cotton which is anchored by bandage. In such state of the splint fix bandage or kerchiefs to a trunk and a femur and stop bandage at right angle to an axis of an extremity 8-like courses of bandage.

At fractures of bones of an anticnemion Kramer's splint with the soft wadded interleaf, well simulated on flexures of an extremity, impose on a back surface of a femur and an anticnemion from a cluneal cord to a heel; then it bend at right angle on a sole, she reaches to ends of dactyls. On the legs it is possible to add two plywood splints, and all device then to fix a spiral gauze bandage. Reticular splints are better for imposing on an exterior and interior surface of an extremity in the form of stirrup and that the stack did not droop from top to bottom, to a sole put a plate which the splint covers in the form of a stirrup.

At fracture of one of bones of an anticnemion the immobilization also is necessary to reduce a pain, but here it is possible to bypass one scalene splint which overlaps on a back surface of an extremity. At fractures of bones of stack Kramer's splint overlaps on an anticnemion and stack.