b. Apply the Wire Ladder Splint.
(1) Position the splint on the outside of the casualty's injured arm with the
bent prongs away from the shoulder.
(2) The angle of the splint should extend beyond the elbow and not touch
the elbow. The splint should not place pressure on the elbow. The upper arm, forearm,
and hand will have contact with the splint.
(3) Check the distal end of the splint. If the splint does not extend beyond
the ends of the casualty's fingers, use a basswood splint or other device to lengthen the
If possible, have the inside of the casualty's hand and forearm toward his
If possible, have the casualty support the splint and injured arm.
c. Apply Wad to Hand. Place a rolled cravat or similar material in the palm of
the casualty's injured hand (see figure 5-2).
Figure 5-2. Rolled cravat placed in palm of injured hand.
d. Check Pulse. Check the casualty's pulse below the fracture site. If no pulse
is found, evacuate the casualty as soon as possible after the upper arm is splinted.
(1) If there is no pulse, one attempt should be made to pull traction on the
arm to restore the pulse.
(2) If the casualty has extreme pain or resistance is felt, the attempt should
be stopped and the limb splinted in place.