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Pelvic Stabilization
To demonstrate ability to apply a pelvic/sheet binding to stabilize a suspected pelvic fracture.

31 October 2018 - 00:03 | Version 2 | |

Skill
CPI
Determines scene is safe  
Introduces self, obtains permission to help/treat.   
Script
"Hi, my name is … and I'm with the ski patrol. Is it alright if I examine you and see what we can do to help you out?"
Initiates Standard Precautions   
Maintains spinal alignment  
Measures and applies a C-collar per local protocol  
Folds a sheet lengthwise 12-18" wide and places it on a backboard where the pelvis will be positioned.  
Log rolls patient on to backboard maintaining spinal alighment; positions patient so that the buttocks are positioned on the sheet 1-2" above the top of the iliac creast.  
Draws the two ends together over the symphysis pubis, compressing the greater trochanters of the femur.  
Gently pulls the ends of the sheet tight.  
Ties the two ends using an overhand knot, or wraps the two sheets ends around each other before securing the ends with one or two nylon cable ties.  
Keeps the patient's knees slightly flexed, and pads under the legs/knees with a rolled-up blanket.  
Secures the patient to the backboard, ensuring that the backboard straps do not go over or put stress on the injured area.  
Secures the patient's knees and ankles with cravats, padding any voids.  

Chapter: 24
Page: 809

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