8/13/2019 BST Procedure

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STEPS IN TRACTION APPLICATION

1. Define BST 

BALANCE SKELETAL TRACTION

- It is the act of pulling or drawing associated with counter traction

2. Indication of BST 

INDICATION

- Fracture of Femur

3. Purposes of BST 

PURPOSES OF TRACTION

1. To proide immo!ili"ation

2. To preent further deformit# or correct deformit#

3. To reduce pain and muscle spasm

$. To reduce fracture

%. To maintain good !od# alignment

&. For support

$. 'hec( and erif# doctors order%. Inform the patient a!out the purpose of the procedure

&. 'hec( the alignment of the 3 pulle#s ) 1st-groin* 2nd-(nee* 3rd-1st + 2nd ,

. Identif# the parts of the orthopedic !ed

PARTS OF THE ORTHOPEDIC BED

1. Bal(an Frame

• $ ertical Bars

• 2 /ori"ontal Bars

• 1 Diagonal Bars

• 2 Straight 'ross Bars

• 1 'ured Bar

2. Firm 0attress3. Fracture Board

$. erhead trape"e

%. Shoc( Bloc(

&. 3 Pulle#s

. Bohlr-Braun Splint

. Identif# the e4uipments to !e used

EQUIPMENTS

1. Steinman Pin

2. Steinman Pin /older3. Thomas Splint

$. Pearson 5ttachment

%. 6est Splint

&. Traction 7eight ) 189 of total !od# wt. ,

. Suspension 7eight ) %89 of traction wt. ,

. Slings ) 2 wide + long * 3 narrow + short ,

:. 'ord sash;string )thigh* traction* suspension,

18. Paper clips;pins

11. Foot!oard

:. 5ttach Pearson 5ttachment to Thomas splint. ) 0edial aspect of the Thomas splint should !e in line with

the groin and Pearson attachment screw is in line with the (nee. ,

18. 0ount;5ttached Thomas splint and Pearson 5ttachment on the rest splint.

11. 5ppl# slings

12. Identif# the principles of sling application.

PRINCIPLES OF SLING APPLICATIONS

1. <ot too loose and not too tight

2. ne each distance in !etween the slings = to promote aeration or entilation

3. Popliteal area and heel portion should !e free from an# sling = to preent pressure sore

8/13/2019 BST Procedure

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$. Smooth and right side should !e come in contact with the patients s(in

%. Two longer and wider slings for thigh portion )Thomas splint, and three for the leg area )Pearson

attachment,

&. Safet# pins should not come in contact with the patient>s s(in

13. 5ttached thigh rope on the medial aspect )ischial ring, of the Thomas splint !# using Slip (not

1$. Secure thigh rope at the medial aspect of the Pearson attachment screw.

1%. Insert the assem!led apparatus under the affected part using the 3 manpower

3 0anpower1 = holding the assem!led apparatus and the one who insert it to the affected e?tremit#

2 = do the manual traction in and remoe the Bohlr-Braun splint

3 = do the lifting of patient>s affected e?tremit#

Instruction to patient

/old the oerhead trape"e* fle? the unaffected e?tremit#* ta(e a deep !reath and lift his;her !uttoc(s at

the count of three.

1&. 5pplication of traction weight = tie traction rope to Steinman pin holder using slip (not.

1. 6un the rope along the 3rd pulle# and attached the prescri!ed traction weight )189 of total !od# weight,

using a (not.- 'ontinuous manual traction should !e applied until traction rope is secured.

- Traction weight should !e at !ed leel

1.Tie the thigh rope to lateral aspect of the ischial ring using slip (not.

1:.Tie suspension rope at the middle of the thigh rope using slip (not.

28. Pass suspension rope along the 1st  pulle#* insert suspension weight and secure it on the 2nd pulle#* pass it on

the 2nd pulle#* outside the traction wt. and under the rest splint and secure it to the Thomas splint using

the cloe hitch (not* and to the Pearson attachment using cloe hitch (not. /ang freel# the suspension

weight.

21. 6emoe the rest splint. ) holding the nec( part and ischial ring;pearson attachment. ,

22. 5ppl# foot !oard;support using the ri!!on (not.

23. 'hec( the efficienc# of traction ) instruct pt. to hold the oerhead trape"e* fle? the unaffectede?tremit#* ta(e a deep !reath and lift his;her !uttoc(s at the count of three. 0oe the gadget forward*

!ac(ward and side to side. ,

2$. 'hec(;Identif# the Principles of Traction.

PRINCIPLES OF TRACTION

1. The line of pull should !e in the line with the deformit#

2. 5oid friction

3. 0aintain counter traction

4. 5ppl# traction continuousl#

5. 0aintain correct !od# alignment ) dorsal recum!ent ,

6. 7eight should !e hanging freel#

2%. Identif# complications of BST.

2&. 6ender nursing care and health teachings.

STEPS IN REMOVAL/TRANSPORT 

1. 5ppl# rest splint

2. Secure suspension wt.

3. 6elease and remoe suspension wt.

$. 6elease thigh rope from the lateral aspect of the ischial ring and secure it to the pearson attachment

screw.

%. 5ppl# manual traction

&. 6elease traction wt. and secure it to the rest splint* Thomas splint and Pearson attachment using

cloehitch (not.

. Placed stretcher on the affected side of the pt.

. Instruct pt. to hold the oerhead trape"e* fle? the unaffected e?tremit#* ta(e a deep !reath and lift

his;her !uttoc(s at the count of three.

:. 'arefull# transfer the pt. to stretcher !# moing first the affected e?tremit#