What should be checked before and after splinting?

Before and after splinting an injured limb, it is essential to check distal sensation and circulation. This involves assessing the patient’s ability to feel sensations (sensation) and confirming adequate blood flow to the extremity (circulation).

The rationale behind this practice is to ensure that the splint is not compromising blood flow or nerve function. By checking distal sensation, the healthcare provider can determine if the nerves are intact and functioning properly. If the patient reports numbness, tingling, or an inability to feel sensations in the fingers or toes after splinting, it may indicate that the splint is too tight or improperly positioned.

Likewise, assessing circulation involves checking pulse and capillary refill. The healthcare provider needs to confirm that the blood supply to the affected limb is not impeded by the splint. Any changes in color, temperature, or the presence of a pulse can be indications that an adjustment to the splint is necessary. This precaution helps prevent further injury and ensures the integrity of the limb remains intact during transport or further management.

By consistently monitoring these factors before and after the application of a splint, providers can ensure better outcomes for patients with musculoskeletal injuries.