II. Epidemiology
- Wilderness Management goes beyond golden hour
- Four hour rescue effort per one mile in backcountry
- Reduce Fractures and dislocations
- Dislocated Shoulder
- Shoulder reduction is manageable in wilderness
- Functional prognosis is poor for delayed reduction
- Four hour delay risks Frozen Shoulder in 50%
- Femur Fracture
- Apply Traction Splints for Femur Fractures
- Mortality significant for >4 hour delayed reduction
- Dislocated Shoulder
III. General Measures
- Maintain Circulation
- Check splints every 15 minutes for circulation
- Check distal pulses
- Check distal Capillary Refill
- Assess symptoms of neurovascular compromise
- Distal extremity warmth
- Distal extremity movement
- Distal extremity Paresthesias
- Check splints every 15 minutes for circulation
IV. Helpful materials
- Sam Splints (padded malleable aluminum)