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Domestic Violence and Abuse

First Aid for Splints & Bleeding Wounds : How to Apply a Shoulder Sling

My name is Alv Rios and I am a paramedic with
Lansing Mercy Ambulance on behalf of Expert Village. In this clip we are going to go over
splinting collar bone injuries and also shoulder injuries. And helping me is going to be my
partner Jacob Barber who works with me at Lansing Mercy Ambulance and he will be doing
this on behalf of Expert Village. It’s pretty hard to differentiate whether or not it’s
the collar bone that is fractured or the shoulder since they are both going to cause a lot of
pain if the patient tries to move their arm. So what you want to do is just assume that
it is probably the collarbone since the shoulder it’s self is a pretty strong bone. So what
you want to do in this situation is use anything, like I have a triangular bandage here. Or
you could use something such as a bandanna or you could even cut a piece of cloth as
long as you have it in this type of shape right here. What I like to do is take the
top corner of my triangle and I like to tie it into a knot. What this is going to do is
form a pocket for the actual elbow to rest in. What I then want to do is have the patient
put their arm in a position of comfort. Normally when you have a shoulder injury this is the
type of position that you are going to find the patient in. What you then want to do is
slip this over. You will see how this pocket here for the elbow will kind of just hold
itself in place there. Then I am just going to have you turn for a second. Just want to
come and you want to tie this in a spot where it’s more comfortable for the patient. Right
here in the back is nice rather than some people that tie it on the neck. Both will
work but it is wherever is just comfortable. If you do tie it in a position where it has
to be on the neck consider using some padding for a little more support. Once I have tied
this in place this is given a little bit of relief from the shoulder having it have to
do less work but there is also going to be pain every time the arm moves. If the arm
moves forward the joint is still moving. So we haven’t quite immobilized it yet. That
is a nice adequate splint that will work if the patient wants to hold it themselves but
if you are going to be doing any long transports. What you are going to want to do is actually
use another dressing here. Again go to a position of comfort. I am going to turn you first here
again. I am going to tie it behind his back. What this will do is help keep the arm against
itself and it reduces the motion of letting the arm move forward where the lower arm can
still move but the shoulder it’s self stays in place. You have now adequately immobilized
the shoulder and or clavicle whichever one is effective.

Cesar Sullivan

23 thoughts on “First Aid for Splints & Bleeding Wounds : How to Apply a Shoulder Sling

  1. These are great videos for understanding how do do a good shoulder sling. I have experience in Emergency Medicine and can tell you this will not be appropriate for all types of emergencies, but I is dumb when people who want to look cool try to bash others for trying to help the community. It is impossible to prepare for every situation, this video does exactly what it needs to do, show how do do a shoulder sling. Great job guys!

  2. rubbish!for a shoulder or collarbone injury you need to place the arm in an elevation sling which supports the arm in a much higher position.thats an arm sling for lower arm fractures

  3. i had a broken collar bone once in the late 2009's throught early 2010's in 2011 and this year i was all fine now!

  4. I'm with Camden Smith. They don't let us like comments anymore. But people tell us how to treat patients all the time. My partner, the senior medic, doesn't exactly like it. He told this bystander that we already know how to treat paroxysmal breathing. The guy looked it up online and suddenly knew everything about it. Except what paroxysmal breathing was, he asked us what that was.

  5. Alot of people saying whats wrong. There really isnt a wrong way to do it as long as the extremity is immobile and secure. What knot you used wont matter and where its tied doesnt matter. Also, yes you would check Pulse circulatory and sensory functions before and after, but this video isnt about that its how to apply a cravat.

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