Injury is typically presented as self splinting. Position of
splint near the patient’s arm for best fit.
over the top corner so the splint rests comfortably in their
Apply the splint so that there is about 2 fingers worth of space
under the elbow. Make certain the SAM is rigid by making
aggressive folds on the “sugar tongs”.
Always get the patient’s help if possible.
Start securing the splint with roller gauze on the wrist.
Start with a “Tail”…..
Secure the “Tail” and start a figure 8 wrap around the splint.
This is a splint, make sure it is securely held in place by
twisting bandages, no less than every other wrap.
Your goal is to get to the top of the splint which is covering
the joint as quickly as possible. To do this, you will NOT be
over-wrapping the bandage as you go up. Leave gaps.
Remember to twist to secure the bandage in place on the
Once you reach the top of the splint, go over it with the roller
gauze and start back down again.
Fill in the gaps which you created on the way up the arm,
remembering to twist the gauze to make it secure.
When you get back down to the forearm again, you might
want to add a second roller just to fully secure the splint.
Start another “Tail”…
Secure the “Tail”.
Start figure 8 wrapping around the arm and the humerus
Go back up the arm one more time, filling in any spots which
are not covered/secured.
Remember to twist the friggin’ roller!!
There you go!!
Over the top again..
Finally, back down the arm again…
If you don’t have enough left to tie it off, just use Tape, but
make sure you use enough to hold it into place.
Tape really only will stick to itself when it’s wet out, so
you need to carefully circle the arm making sure you’re not
cutting off the circulation. (Don’t wrench it down).
Completed splint.. This splint easily will pass the “rub test”
meaning you can run your hand up and down it and it
won’t come apart or loosen.
Always remember to check CSM before and after splinting.
Get the patient to help while you get your “monster cravats”
Tie a not in the corner of the sling (at end of triangle).
Pull up the sides.
Square not in the back, try to get it to the side of the patient
so they don’t sit on the knot when riding down in the sled.
Patient no longer needs to support injury once it’s in the
Use a second cravat for a swath. However, open up this
cravat double-wid so that the force is distributed evenly over
Opening the swath wide allows you to secure the sling to
the patient without causing pain on the injury site.
Square not in the front for patient comfort.
Completed splint with sling and swath.