How to use a SAM Splint (Forearm) | Wilderness Medicine
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- เผยแพร่เมื่อ 22 ส.ค. 2024
- Dr. Donner discusses some key general tips for SAM splint use, and demonstrates a sugar tong splint for wrist and forearm injuries. Includes discussion on structural bends, fitting and molding technique, immobilization with sling, supination, and pronation.
MedWild provides wilderness medicine, wilderness survival, and search and rescue instructional videos on a variety of topics: high altitude illness, traveler’s diarrhea, shoulder dislocation and reduction, shelter building, bushcraft, space blankets, hypothermia, medical kits, survival kits, frostbite, snake bites, fire craft, ropes and knots, orthopedic injuries and sam splints, cold water immersion and more.
Instructor: Howard Donner, MD
Co-Author “Field Guide to Wilderness Medicine”
Served as a physician for Denali National Park, Himalayan Rescue Association, and the 1998 NOVA Everest expedition. Served as a medical operations consultant for NASA for over 5 years. Whitewater rafting guide, commercial pilot, and certified flight instructor.
Recommended Audience: Outdoor enthusiasts and health care professionals including physicians, nurses, search and rescue teams, EMT, paramedics, ski patrol, corpsman, guides, instructors, wilderness first responders, and anyone else interested in educational and “how to” videos on wilderness emergency medicine, search and rescue, expedition medicine, backcountry first aid, wilderness survival training, and military medicine. Dr. Donner’s draws on his extensive backcountry and travel experience to highlight key signs, symptoms, treatments, and improvised techniques and skills.
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Produced by Kyle Allred PA-C
Please Note: MedWild Videos are for educational purposes and not intended to replace recommendations by your health care provider.
See the instructor in this video (Dr. Donner) speak and take a splinting workshop at the upcoming National CME Conference on Wilderness Medicine. All medical specialities are welcome! wilderness-medicine.com/cme-conferences/santa-fe/
After watching this video about a year ago, I was dispatched to a car versus kid on a bicycle and he had a fractured forearm and I used a SAM splint to make a sugar tong for the kid. Thanks!!
Dang. Who knew Jimmy Buffett knew so much about emergency medical treatment?! Seriously- great video, thank you.
I introduced this technique to my first aid teacher and we used it in class I looked like the smart guy .. thanks a lot
best looking SAM Job I've seen in a veryyy long time. well done.
I love it. Excellent review of the basics. Dr. Donner rocks.
Self adhesive conforming bandage would be best to hold splint. It attaches and sticks to its self but is not sticky to the touch or stick to skin. A bit like velcro. Saves the need for tape. 👊🏻
And it’s waterproof!
Remember CSM before and after splinting. Good video.
Rather late to comment on this, but I've only just found your channel (already a big fan), just thought I would chip in, my first aid instructor taught us to use the opposite limb to measure up the splint. i.e. if the right arm was broken measure the splint up on the left arm then transfer it over.
Fredrik Keate isn’t that what he taught also already?
I just recently had a tib/fib fracture in a motorcycle accident and this splint is 1000 times better then the splint they had in the ambulance. Would of loved to get my leg as stable as her arm was with the sam splint
Wth? We use Sams on ambulances here, I thought that was common
apparently new unused sam splints make people happy!
nice video!
Loved the Video. As a Medical Student and avid Hiker it's good to see these in use. Would love to see some more applications of them in use. C-Spine Collars, or ankles etc. I know the basics of them but it's always good to see how a professional would do it.
Cheers
Mark
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@Silas Carter instablaster ;)
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Loved this - comical and educational, thank you!
Well that’s very interesting and informative. I’m going to subscribe today. Thanks and will look forward to more great videos. 😁👍👍
Thank you, and nice mnemonic for remembering supination (you can carry soup in your hand) vs pronation.
whistlerbrk You're welcome
Yeah. I used this in my anatomy class and my professor thought it was a great idea to remember it.
Thank you
Good explanations! Thanks for the video
Excellent, thank you.
Awesome technique!!
I have had more than my fair share of broken bones in my life so im pretty aware of the pain associated with them and the techniques used on me previously by paramedics. This is a product not been used on me, it does look to be an effective splint however i also know it would be pretty darn painful to shape around the break. Once secured it would be very effective. I realise the pain wont be such an issue if you were being treated by a paramedic as they can give you fast effecting pain relief, but if you are anyone else you wont have access to sufficient fast action pain relieving medications so this would be quite painful to put on, that being said I would have one or two of these in my medkit however I would also have what has previously been used on me which is Inflatable Splint. They are as it sounds effectively a blow up sock that inflates to wrap around and secure the injured bone. Great product that takes up very little space though isnt cheap.
MaZEEZaM Thanks for your comment.
great video
Thank you! very useful
What about cutting the sam splint to start just past the elbow and cupping it underneath, wrapping and then using a sling? That seems more practical to me in order to support the limb.
thank you a lot
My only issue with the wrap is being able to verify radial pulse post application. I always leave a little gap to verify distal pulses post application.
Would it make sense to use the sugar tong on any/every forearm fracture?
Seems like that splint manipulation including elbow adjustment at end would REALLY HURT more than just holding it still yourself
Yeah, the moulding of the elbow look pretty forceful and painful.
The way she looks at him… 😂
Could you wrap the sam splint with a compressed / rolled gauze too medical tape to hold it or would this not work as well? Does the wrap need to be elastic?
Matt A Elastic material (ace wrap, coban, etc) would probably work best, but if a roll of guaze is all you have- it could probably help maintain the splint in place to some degree. Thanks for the comment
What would your use as the best material to wrap around the arm before applying the splint - in order to pad pressure points and absorb a bit of moisture ? ACE Wrap ?
I imagine, the skin can become quite irritated after a couple of hours in the sun or other hot environment.
Regards, Michael
A common thing you can use is a cut up t-shirt, or roller gauze to pad prior to splinting.
So, instead of paying attention like I should, I was just wondering why you didn't refer to your niece by her name, but just insisted on calling her "the niece".
I am not a smart man.
Anyway, all the best to your and the niece, hope she recovers well.
That's good.... 'soup in your hand'....
Splint god