Cami TaysomRN, CEN, CPEN, WFR

Steve HillAEMT-2011, Bear Lake County EMS

Management of the Femur Fracture

2015 Ski & Mountain Trauma

High-energy mechanism.

Pain over thigh/hip region. Pt unable to stand.

Deformity, internal or external rotation of foot.

Swelling, bruising, open wounds, S&S of shock.

Signs & Symptoms Femur Fracture

Assess CSM at foot. Assess (at skin level) for any

open wounds.

Gently reduce any deformity (TIL).

Re-check CSM.

If no backboard: secure a long-leg fixation splint-

leaving ankle exposed, extending past the pt’s waist

to immobilize their hip.

Treatment for Femur Fracture

Padded ankle or calf hitch

Padded groin strap above thigh at pelvis

Attach groin strap and ankle hitch to traction pole

Replace manual traction with mechanical traction

Use adjustable knots

Pad between legs and secure together

Continuously monitor the 5 P’s at ankle and foot

Consider a Mechanical Traction Splint