کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2614683 1135033 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Femoral Traction Splints in Mountain Rescue Prehospital Care: To Use or Not to Use? That Is the Question
ترجمه فارسی عنوان
آتل کشش استخوان ران در مراقبت قبل از بیمارستان نجات کوهستانی: استفاده کردن یا استفاده نکردن؟ مساله این است
کلمات کلیدی
شکستگی شفت فمور؛ گروه محصولات؛ کشش؛ مراقبت قبل از بیمارستان پزشکی بیابان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

ObjectivesTo determine the incidence of femur fractures in mountain rescue in England and Wales. To investigate the attitudes of rescuers toward the use of femoral traction splints. To review the literature for evidence on the use of traction splints in prehospital medicine and test the hypothesis that femoral traction splints reduce morbidity and mortality in patients with a fractured femur.MethodsThe Mountain Rescue England and Wales database was searched for cases of suspected fractured femur occurring between 2002 and 2012, a questionnaire was sent to all mountain rescue teams in England and Wales, and a literature review was performed. Relevant articles were critically reviewed to identify the evidence base for the use of femoral traction splints.ResultsFemur fractures are uncommon in mountain rescue, with an incidence of suspected femur fractures on scene at 9.3 a year. Traction splints are used infrequently; 13% of the suspected femur fractures were treated with traction. However, rescuers have a positive attitude toward traction splints and perceive few disadvantages to their use. No trials demonstrate that traction splints reduce morbidity or mortality, but a number describe complications resulting from their use.ConclusionsFemur fractures are rare within mountain rescue. Traction splints may be no more effective than other methods of splinting in prehospital care. We failed to identify evidence that supports the hypothesis that traction splints reduce morbidity or mortality. We advocate the use of a femoral traction splints but recognize that other splints may also be appropriate in this environment.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Wilderness & Environmental Medicine - Volume 26, Issue 3, September 2015, Pages 305–311
نویسندگان
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