Hare Traction Splint: Application Guide, Contraindications, Pediatric Instructions, Parts, Training Manual

Content:

• What is Hare Traction Splint?
• Application Guide
• Contraindications
• Pediatric Instructions
• Parts
• Training Manual

What is Hare Traction Splint?

The Hare Traction Splint is a specialized medical device used primarily in emergency settings to treat suspected fractures of the femur, or thigh bone. It is designed to provide gentle, consistent traction to the injured leg, aligning the bone and minimizing pain and damage to surrounding tissue. Often used by emergency medical personnel, the Hare Traction Splint is compact, lightweight, and can be applied quickly in the field. This splint is a critical component in trauma care, especially during the transport of patients from accident scenes to medical facilities. By maintaining traction, the splint reduces muscle spasms and helps limit internal bleeding, which can be life-saving. Its structure allows for stability and support without causing further harm. The splint is adjustable, making it suitable for a variety of leg lengths and patient sizes. Because it’s reusable and easy to decontaminate, it's a staple in ambulances and rescue kits worldwide. Knowing how and when to use the Hare Traction Splint is essential for anyone involved in emergency medical services.

Application Guide

Applying the Hare Traction Splint correctly is vital to ensure both the safety and comfort of the patient. First, always assess the patient for signs of femur fracture—typically intense pain, swelling, deformity, or inability to move the leg. Begin by exposing the injured leg and stabilizing it to prevent further movement. Have one person maintain manual traction by gently pulling on the ankle while another prepares the splint. Measure the splint alongside the uninjured leg to adjust its length appropriately. Then, slide the splint under the injured leg, making sure the ischial pad is correctly positioned against the groin. Next, apply the ankle hitch and gently tighten it to begin traction. Slowly crank the device until the leg appears more aligned and the patient feels some relief from the pressure. Secure the thigh and leg straps to hold the splint in place. Recheck circulation and sensation in the toes to ensure there is no compromise. Always monitor the patient closely during transport and adjust the splint if necessary. Proper application can make a significant difference in both recovery and comfort.

Contraindications

While the Hare Traction Splint is useful, it’s not suitable for every situation. There are certain contraindications where using the splint may do more harm than good. For instance, it should never be applied if the patient shows signs of pelvic fractures. Applying traction in these cases could worsen internal bleeding or cause additional damage. Similarly, if there are open fractures with exposed bone at the femur site, using the splint could introduce contamination or cause further injury. Always assess the patient carefully for other trauma before proceeding. Another major contraindication is injuries involving the lower leg, such as tibia or fibula fractures, where traction could misalign the bones further. Patients with suspected hip dislocations or injuries near the groin area are also not ideal candidates. Additionally, if the patient is in extreme pain during traction, it’s better to halt the process and reassess. Using clinical judgment and being aware of these contraindications ensures that the splint is used appropriately and does not lead to complications or worsened injuries.

Pediatric Instructions

Using the Hare Traction Splint on pediatric patients requires additional care and attention. Children's bones are more delicate, and applying too much traction can cause damage. First, ensure the child is calm and explain the procedure in simple terms to reduce fear. Use a pediatric-sized splint if available, as it is specially designed to fit smaller limbs. Begin by assessing the injury and maintaining manual traction. Adjust the length of the splint appropriately using the child’s uninjured leg as a reference. Once the splint is adjusted, gently position it under the child’s leg, ensuring comfort and correct alignment. Apply the ankle hitch and begin traction slowly, keeping constant communication with the child. Do not apply excessive pressure. Secure the straps snugly, but not tightly, to avoid cutting off circulation. Continuously monitor the child’s skin color, temperature, and sensation in the toes. Pediatric patients require more frequent checks, and splint adjustment may be needed during transport. Proper use in children can significantly reduce trauma and help with faster recovery.

Parts

The Hare Traction Splint is made up of several key components that work together to provide effective stabilization. The main part is the metal frame, which is extendable to fit different leg lengths. At the top of the frame is the ischial pad, which rests against the patient's groin area to provide counter-traction. This pad is critical for proper alignment and effectiveness of the device. Attached to the lower end is the ankle hitch, which cradles the patient’s ankle and allows for the application of traction via a mechanical crank or ratchet system. Additionally, the splint has several Velcro straps or securing bands that are used to hold the leg in place once the desired traction is applied. These straps are adjustable and provide a snug fit without causing pressure points. Some splints also include padding for additional patient comfort. Each part must be intact and functional to ensure the device works as intended. Familiarity with these components helps responders apply the splint efficiently and reduces the risk of errors in emergency situations.

Training Manual

Training in the use of the Hare Traction Splint is essential for emergency medical personnel, including EMTs and first responders. A good training manual should start with the basics: understanding femur fractures and the indications for traction splinting. It should also include visual guides on identifying signs of injury and proper steps for splint application. Trainees should learn how to assess patients safely, measure and adjust the splint, and apply traction correctly without causing additional harm. The manual should also cover contraindications, pediatric considerations, and how to care for and clean the device after use. Practice scenarios and hands-on simulations should be included to help reinforce skills in real-time settings. Additionally, trainees should be evaluated on both knowledge and performance. Certification may require both written and practical testing. A detailed, well-structured training manual ensures that all personnel using the Hare Traction Splint can do so confidently, safely, and effectively — which ultimately improves patient outcomes in trauma emergencies.