Pelvic Binder (SAM Splint)

Question 1

What are the indications for application of a SAM splint?

Answer 1

• suspected pelvic fracture
• an awake patient c/o pain to pelvic area including lower back (sacroiliac joint), groin or hips
• an unconscious or ACS pt with significant MOI
• in the cause of a traumatic cardiac arrest, a pelvic splint should be applied as a matter or clinical priority if MOI is suggestive of pelvic trauma

Question 2

What are the contraindications for application of SAM splint?

Answer 2

• impaled object preventing application

Question 3

What are the clinical precautions for the SAM splint?

Answer 3

• should be appropriately sized
• smaller paeds may require a sheet/towel/pillow case as a pelvic wrap

Question 4

Instructions for application of SAM splint

Answer 4

https://cpg.ambulance.vic.gov.au/assets/pdf/CWI/CWI%20OPS%20177%20%20Application%20of%20Pelvic%20Splint.pdf

Question 5

How do you reassess the SAM splint?

Answer 5

• reassess pain
• reassess for any pressure points in splinting
• reassess peripheral perfusion in limbs

Question 6

Can you remove a SAM splint prehospitally?

Answer 6

No. Once applied a pelvic splint should only be used by an Emergency Physician