f. Apply Sling and Swathes. Apply a sling and swathes to further immobilize
the casualty's arm. Slings and swathes are discussed in paragraphs 5-8 and 5-9.
(1) If the humerus is fractured, apply two swathes--one above the fracture
site and one below the fracture site.
If the humerus is not fractured, make the swathe wide across the injured
IMMOBILIZE A FRACTURED FOREARM WITH A SAM SPLINT
a. Unroll the SAM splint and flatten it.
b. Fold the SAM splint in half so it is a tall "V" shape.
c. Bend the edges of the splint in until the shape of the splint generally conforms
to the curve and shape of the limb being splinted (see figure 5-4A). Each half of the
splint will have a "U" shape.
d. Check the casualty's pulse below the fracture site. If no pulse is found,
evacuate the casualty as soon as possible after the forearm is splinted.
e. Apply the SAM splint to the forearm. The elbow should rest in the bottom of
the "V" and the sides of the "V" are on the inside and outside of the forearm.
f. Adjust the shape of the SAM splint to conform to the limb, if needed.
g. Secure the splint using at least two cravats (see figure 5-4B).
Figure 5-4. Immobilizing a forearm using a SAM splint.