If I don't have to take them off I don't. If there's no worry of spinal precautions I try to remove them without the cut. If the pt is conscious I usually ask them how attached they are to the item of clothing I am thinking of cutting. Most people are more worried about their health than their clothes but if they ask me not to cut I try everything I can do not to. If its unavoidable I explain why. Most people understand.
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