Any splint placed in TCCC must be periodically reassessed for complications, such as pressure points, irritation, excessive tightening, and missed underlying wounds. Additionally, all extremities and palpable bony structures must be thoroughly assessed for any unrecognized fractures that may have been missed during the initial TCCC treatments.
Non-medical Responders
If a splint was placed in TCCC, ensure that it is still in place and not causing additional pain beyond the fracture it is stabilizing. Refer any issues with the splint to the medical responder immediately.
Medical Responders
Any suspected fractures or significant extremity injuries identified but not previously treated will be managed IAW the TCCC Guidelines. Injured and splinted extremities will tend to initially have increased swelling for 2-5 days after a significant injury. Continual reassessment is mandatory for all applied splints. Basic steps for evaluating previously applied splints include:
*NOTE: The first and most important symptom of compartment syndrome is pain, particularly when worsening, pain with passive motion or pain out of proportion to the injury. If the casualty is non-verbal, then it is critical to continually reassess any splinted extremity for other signs indicative of developing compartment syndrome and address the problem immediately.