NIPPV 3 machines are used throughout the trust to deliver NIV and CPAP – and should be commenced in ED if transfer to ward/ICU is adding significant delay
NIV/CPAP is an Aerosol Generating Proceedure (AGP)
Invented by a Welshman ‘Hugh Owen Thomas’, the introduction of this simple device in World War 1 went on to reduce the mortality of #femurs from 80% to 16%.
The Kit
Measuring Tape
Thomas splint – Adult or Paediatric (depending on size)
3. pass strings down (one over and one under) around the base, bringing them back over the Reef Knot and back around the base. This makes a pulley system.
4. Tension the pulley system and tie-off using a bow
5. Pass the tongue depressors (2 tongue depressors tapped together), twist the tongue depressors to achieve the required tension, and lock off against the side.
Bandage & Elevate
Bandage the leg to the sling using the bandage – to keep secure
Place a pillow or blankets under the splint to elevate the heel – To prevent pressure sores