TRANSPORT IMMOBILIZATION AT THE PREHOSPITAL STAGE FOR FRACTURES OF LONG TUBULAR BONES OF THE LOWER EXTREMITIES

Objective. Analysis of the experience of transport immobilization (TI) in fractures of long tubular bones of the lower extremities

The study of the need and frequency of application of means of transport immobilization for various injuries and types of medical care is carried out. Advantages and disadvantages of existing tires are considered: Diterichs tire, folding distraction tire – KTD (Kendrick traction device, USA), folding distraction tire – STS (Slishman Traction Splint), folding traction tire «ShTS-01-Medplant» (Russia), improved version of the latter, «U-ShTS», in conditions of their use at the pre-hospital stage. Approbation of our patent «Transport immobilization tire» was carried out at the stage of emergency medical care in 10 victims with isolated hip fractures, fractures of the femur and lower leg bones at the same time. 7 victims had a fracture of the femur, in 3 cases there was a fracture of the bones of the lower leg in the middle third and thigh. Fractures of the long tubular bones of the limbs were accompanied by traumatic brain injury in 2 victims, thoracoabdominal injuries were also observed in 2 victims and unstable fracture of the pelvic bones in one victim.

Conclusion. The available samples of modern transport tires have a number of design flaws that impede their effective use.

The «Transport immobilization tire» used by us has confirmed its effectiveness, operational safety, reliability and ease of use.

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