APPLY SLING AND SWATHE

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APPLY SLING AND SWATHE

• SGT BARKLEY

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MOTIVATOR

• A soldier was doing his morning police call.
  He fell and hit his shoulder on the ground. You
  are the first on the scene. What are you going to
  do ?

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TERMINAL LEARNING OBJECTIVE

• ACTION- Apply a sling and swathe to a casualty
• CONDITION- Given a simulated conscious casualty
  and two cravats in a classroom setting
• STANDARD- Apply cravat in a timely manner without
  causing further injury to the casualty in
  accordance with FM 21-10

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SAFETY REQUIREMENTS

• None

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RISK ASSESSMENT

• Low

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ENVIRONMENTAL CONSIDERATIONS

• None

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EVALUATION

• There will have a brief performance evaluation on
  the collective task you will learn.
• You have to perform all steps in order and
  correctly to get a Go.

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INSTRUCTIONAL LEAD-IN

• For the next 10 minutes I will briefly cover
  recognizing a possible dislocation or fracture of
  a shoulder
• How to apply a sling
• How to apply a swathe

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ENABLING LEARNING OBJECTIVE 1

• Recognizing a suspected dislocation or
  fracture of the shoulder

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LEARNING STEPS

• Is the scene safe
• Mechanism of injury
• Check for any life threatening injuries
• Check for any circulation
• Check for any deformities
• Never try to realign suspected dislocation or
  fracture
• Get brief history on what happened

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CHECK ON LEARNING

• Q. What is the first thing we check when we come
  up to the scene?
• A. For scene safety.
• Q. What must we never do?
• A. Must never try to realign dislocation or
  fracture of shoulder.

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ENABLING LEARNING OBJECTIVE 2

• Apply sling to a suspected dislocation or
  fracture with out causing further injury

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LEARNING STEPS

• Remove cravat from wrapper and fold out
• Tie a pigs tale at short end of cravat
• Slide one side of cravat under injured side with
  two long ends pointing toward wrist and pig tale
  end toward elbow
• Bring two long ends up toward uninjured side on
  neck side and tie non slip knot
• Make sure arm is at a 90 degree angle

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CHECK ON LEARNING

• Q. What side of the neck do you tie the knot?
• The uninjured side.
• Q. What kind of knot do you tie the cravat in?
• In a non-slip knot.
• Q. What angle should the shoulder be positioned
  in when resting in the cravat?
• A. In a 90 degree angle.

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ENABLING LEARNING OBJECTIVE 3

• Apply a swathe to a suspected dislocation or
  fractured shoulder.

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LEARNING STEPS

• Unfold the second cravat into two half
• Make sure the width is 6 to 8 inches
• Wrap the cravat around mid arm securing arm as
  close as possible to body
• Tie two ends on non-injured side
• Transport to medical facility

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CHECK ON LEARNING

• Q. How many inches wide should the swathe be?
• 6 to 8 inches wide.
• Q. Where should the non-slip knot be tied?
• A. Should be tied on uninjured side.
• Q. What is the last step?
• A. Transport casualty.

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EVALUATION

• You will now be tested on your ability to
  perform apply a sling and swathe to a casualty.

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SUMMARY

• We learned how to recognize a suspected
  dislocation or fracture of a shoulder
• How to put on a sling without causing further
  injury to the casualty
• How to apply a swathe to suspected dislocation or
  fracture to shoulder

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REVIEW

• Always make sure scene is safe
• Never try to realign suspected dislocation or
  fracture
• Do not cause further injury to casualty
• Transport after applying sling and swathe

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QUESTIONS

• Are there any questions?

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PRACTICAL EXERCISE

• In this exercise you will be tested hands on, on
  all steps shown in this lesson.
• Make sure you perform all steps in sequence and
  in a timely manner.
• You will be given all materials to complete this
  task.