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sheet technique to providing pelvic 'stability' for suspected open book fractures:
- best performed by 2 people but can be done with one
-place a folded bed sheet under patient that is ~12 wide with upper border as high as/along 'hip bone'
-cross sheet over patient, each person pulling slow and steady, putting pressure across front of pelvis....slowly!!.
-once max tension across pelvis, maintain the 'pull'; each person handing off their side as to wrap/twist the sheet to maintain the tension
- once it is wrapped/twisted enough (4-6x), tape or tuck ends under the 'knot' to prevent unwrapping
- leave on as long as necessary or until doc removes it in trauma room or E.D.
- to harm done if there was no fracture: unlike MAST trousers, no need to intubate with maximum inflation/tension
I'll look for a link that shows a vid clip of this.
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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