• Universal Patient Assessment Protocol
• Extremity Hemorrhage / Tourniquet Protocol if necessary
• Assess neurovascular function
• Apply in-line traction
• Immobilize fracture sites with appropriate splint
  • Femur - traction splint
  • Lower - Legleg vacuum or rigid splint, pillow and fracture straps
  • Pelvis - pelvic binder or pillow with fracture straps/sheet
  • Hip - pillow with fracture straps
  • Humerus - sling and swath
  • Lower Arm - arm vacuum or rigid splint, pillow and fracture straps
  • Clavicle/Scapula - sling and swath
  • Ribs - bulky dressing
  • Spine - cervical collar, Spinal Motion Restriction Protocol
• Consider Pain Management and Shock Protocols

Key Considerations

• Assess neurovascular function before and after splinting
• Angulated long bones should be straightened
• Injuries involving joints should be splinted in the position found unless there is neurovascular compromise. One attempt may be made to straighten the extremity
• Immobilize the extremity before moving the patient whenever possible.
• Immobilize joints above and below the fracture site.
• Too much traction can distract fractures and compromise circulation. If neurovascular function is diminished or lost following application of traction, gently release until circulation is restored.