courageheartx Posted December 8, 2007 Author Share Posted December 8, 2007 Have some one maintain manual traction on femur, have sam sling on board, roll patient onto board. Secure pelvis with sam sling and place hare traction. Total time: < 2min. Take pt woo hoo to hospital calling trauma alert. Drop off pt, do paperwork. Finish 12" Subway Meatball Sandwich. Clear from hospital. LOL Link to comment Share on other sites More sharing options...
Chief1C Posted December 8, 2007 Share Posted December 8, 2007 **starts rummaging through the cabinets looking for the MAST. Link to comment Share on other sites More sharing options...
Scaramedic Posted December 8, 2007 Share Posted December 8, 2007 **starts rummaging through the cabinets looking for the MAST. Spend five minutes cleaning dust of [sub:461bf86a1d]MAST PANTS[/sub:461bf86a1d] and trying to remember how to inflate. Legs first, then abd, or abd then legs, or right leg, abd, lef... oh screw it. Link to comment Share on other sites More sharing options...
Doczilla Posted December 8, 2007 Share Posted December 8, 2007 thanks. so then you would load and go,stabilize while en route? Yes. That's not to say you should be cruelly inattentive to stabilization, but manual stabilization will do until they are backboarded. If you have a pelvic sling or TPOD or something, apply that at the same time as backboarding. Let nothing keep you from hauling ass to the hospital. 'zilla Link to comment Share on other sites More sharing options...
HellsBells Posted December 8, 2007 Share Posted December 8, 2007 So, courgeheart, What did you end up doing for this patient? Link to comment Share on other sites More sharing options...
courageheartx Posted December 8, 2007 Author Share Posted December 8, 2007 Nothing. I just posed this question to see what other providers would do if a situation like this were to occur. Link to comment Share on other sites More sharing options...
Baldrick Posted December 8, 2007 Share Posted December 8, 2007 I would use a box splint on the leg. An upside down KED to immobilise the fractured pelis and the scoop the patient and immobilise them to the scoop. Followed by rapid transport to A+E. Obviously they would be on high concentration oxygen. Link to comment Share on other sites More sharing options...
jjones1418 Posted December 8, 2007 Share Posted December 8, 2007 I'm giving him a quick roll onto the backboard. Then we're getting on to the hospital. If we're BLS, there's nothing else to do, but assess, O2, and watch 'em. If we're ALS, he gets aforementioned O2, other standard stuff on the way, IV, ECG, etc. Load him up with some Fentanyl. I like the Sam Sling, if you've got it. Upside down KED works well, but it's a pain at the hospital. They look at you funny. I'm not putting a SAGER traction splint on someone with an unstable pelvis. The Hare is a different story... Maybe... Link to comment Share on other sites More sharing options...
mobey Posted December 8, 2007 Share Posted December 8, 2007 OK maybe I'm off my rocker Isn't it a bad idea to roll someone with an unstable pelvis?? Link to comment Share on other sites More sharing options...
AZCEP Posted December 8, 2007 Share Posted December 8, 2007 If you can move them onto a backboard another way, then it would be appreciated, but often rolling is often done out of necessity. For this situation, I'd place the MAST pants on the backboard before hand and use it to splint the fractures. SAM Slings are nice, but don't do anything for the femur. The HARE/Sager is good, if the pelvis and the patient are stable. If you still carry them to meet your area's regulations, now is the time to use them as they were intended. Link to comment Share on other sites More sharing options...
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