How to use a SAM Splint (Forearm) | Wilderness Medicine

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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MedWild videos featured at: www.wilderness-medicine.com
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.

Пікірлер: 47

  • @MedWild
    @MedWild Жыл бұрын

    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/

  • @rhoonah5849
    @rhoonah58492 жыл бұрын

    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!!

  • @ctcollinthib
    @ctcollinthib2 жыл бұрын

    Dang. Who knew Jimmy Buffett knew so much about emergency medical treatment?! Seriously- great video, thank you.

  • @ianwalker5519
    @ianwalker5519 Жыл бұрын

    best looking SAM Job I've seen in a veryyy long time. well done.

  • @reidtillery2856
    @reidtillery28564 жыл бұрын

    I love it. Excellent review of the basics. Dr. Donner rocks.

  • @itsbandage
    @itsbandage7 жыл бұрын

    I introduced this technique to my first aid teacher and we used it in class I looked like the smart guy .. thanks a lot

  • @WildMedGuru1
    @WildMedGuru111 жыл бұрын

    Awesome technique!!

  • @NaturallyNaomi
    @NaturallyNaomi Жыл бұрын

    Loved this - comical and educational, thank you!

  • @4590Lenny
    @4590Lenny3 жыл бұрын

    Remember CSM before and after splinting. Good video.

  • @emsandmci8243
    @emsandmci82432 жыл бұрын

    Good explanations! Thanks for the video

  • @karenhays1737
    @karenhays17379 жыл бұрын

    great video

  • @SkAterStaR94
    @SkAterStaR9410 жыл бұрын

    apparently new unused sam splints make people happy! nice video!

  • @mrbigolnuts3041
    @mrbigolnuts30414 жыл бұрын

    Thank you! very useful

  • @9102010
    @91020103 жыл бұрын

    Excellent, thank you.

  • @truffle8398
    @truffle83985 жыл бұрын

    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. 👊🏻

  • @cromano6830

    @cromano6830

    3 жыл бұрын

    And it’s waterproof!

  • @barnaclebill1615
    @barnaclebill16154 жыл бұрын

    Well that’s very interesting and informative. I’m going to subscribe today. Thanks and will look forward to more great videos. 😁👍👍

  • @davidschlarp1606
    @davidschlarp16065 жыл бұрын

    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

  • @LulepeLP

    @LulepeLP

    2 жыл бұрын

    Wth? We use Sams on ambulances here, I thought that was common

  • @trextrextrex
    @trextrextrex2 жыл бұрын

    Thank you

  • @u5114043
    @u51140432 жыл бұрын

    thank you a lot

  • @fredrikkeate411
    @fredrikkeate4115 жыл бұрын

    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.

  • @ZantherStone

    @ZantherStone

    5 жыл бұрын

    Fredrik Keate isn’t that what he taught also already?

  • @johnzaleski5182
    @johnzaleski5182 Жыл бұрын

    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.

  • @kshahkshah
    @kshahkshah10 жыл бұрын

    Thank you, and nice mnemonic for remembering supination (you can carry soup in your hand) vs pronation.

  • @MedWild

    @MedWild

    9 жыл бұрын

    whistlerbrk You're welcome

  • @rhoonah5849

    @rhoonah5849

    2 жыл бұрын

    Yeah. I used this in my anatomy class and my professor thought it was a great idea to remember it.

  • @mr1629
    @mr16298 жыл бұрын

    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

  • @silascarter5850

    @silascarter5850

    2 жыл бұрын

    you prolly dont care but does anybody know of a tool to get back into an instagram account? I was dumb lost the password. I appreciate any tips you can give me

  • @dominicthiago2928

    @dominicthiago2928

    2 жыл бұрын

    @Silas Carter instablaster ;)

  • @silascarter5850

    @silascarter5850

    2 жыл бұрын

    @Dominic Thiago Thanks for your reply. I got to the site through google and im trying it out now. Seems to take quite some time so I will reply here later when my account password hopefully is recovered.

  • @silascarter5850

    @silascarter5850

    2 жыл бұрын

    @Dominic Thiago it worked and I now got access to my account again. Im so happy! Thank you so much you saved my ass :D

  • @dominicthiago2928

    @dominicthiago2928

    2 жыл бұрын

    @Silas Carter you are welcome :)

  • @danoesq2
    @danoesq25 жыл бұрын

    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.

  • @MaZEEZaM
    @MaZEEZaM10 жыл бұрын

    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.

  • @MedWild

    @MedWild

    9 жыл бұрын

    MaZEEZaM Thanks for your comment.

  • @murph6730
    @murph6730 Жыл бұрын

    Would it make sense to use the sugar tong on any/every forearm fracture?

  • @bodstrup
    @bodstrup10 жыл бұрын

    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

  • @bresq343

    @bresq343

    3 жыл бұрын

    A common thing you can use is a cut up t-shirt, or roller gauze to pad prior to splinting.

  • @ZantherStone
    @ZantherStone5 жыл бұрын

    Seems like that splint manipulation including elbow adjustment at end would REALLY HURT more than just holding it still yourself

  • @seanstevens1651

    @seanstevens1651

    5 жыл бұрын

    Yeah, the moulding of the elbow look pretty forceful and painful.

  • @youtasdf123
    @youtasdf1239 жыл бұрын

    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?

  • @MedWild

    @MedWild

    9 жыл бұрын

    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

  • @aprilezell3784
    @aprilezell37849 жыл бұрын

    That's good.... 'soup in your hand'....

  • @josephsharp9939
    @josephsharp9939Ай бұрын

    The way she looks at him… 😂

  • @BrUh-xp6qi
    @BrUh-xp6qi3 жыл бұрын

    Splint god

  • @jpesmar
    @jpesmar2 ай бұрын

    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.