Walking out a broken leg

Please tell you're not serious because if you are, I'm going to ask the moderators for permission to smack the crap out of you.

:rofl:
 
I typed for "eating raw meat" but my spell check...

aw never mind.
 
Hey Everyone

What are your opinions on a pt walking on a splinted suspected broken tib/fib, no obvious deformities, just point tenderness. Pt said he heard a crack when he put his foot in a hole. Pain 5/10.Walk is 400 yards along a cut line to the road or bring an quad with a rescue sled in.

I'd say go for it. Just hope he doesn't step in another hole! :unsure:*

*End sarcasm.

Seriously, think about what you just asked...
 
What I should have just asked is if there was any situation where you would walk someone out with a possible broken leg. I didn't put in a lot of details here but I was originally told that there was no way we could get the quad with the trailer so I was thinking of alternatives and considered walking him out with an improvised crutch. Then they said they lied and the quad and trailer could fit so I brought it in and got him out.

But if it couldn't fit next time what would I do? Was walking out ever an option as a last resort?

I appreciate all the advice and insults.
 
you scoop his *** up and carry him out:

BAM

scoop.jpg
 
aefe5015-41c8-3cd1.jpg


Best picture I could find. It allows for the patient to only use one leg to walk.
 
400 yards and you need a quad?!?

I once hand carried a stokes 3 miles out of a hiking trail. Uphill both ways. In the snow.

Ok not really uphill both ways in the snow (It was back up to the road from a waterfall). But the point stands, four people should be reasonably able to stokes carry an average sized adult 400 yards without too much difficulty.
 
Why not just use the stokes? Or drive the ambulance onto the football field?
 
With the utmost respect intended, you are one lazy human being. What possibly makes walking a pt with a suspected fractured leg sound remotely like a good idea?

4 point him in a stokes basket. 400 yds is not far.
 
Seems that there is a rule on this site about being rude and attacking people. Many that have replied deserve to receive contact concerning those rules.

OP in general you would not allow a person in your care to walk on a broken leg. That being said is the patient alert and oriented? If yes they can refuse any and all treatments. So if patient states no you can not carry me then they have that right and just document to protect yourself.

I apologize for the rude replies many have given you. It is obvious that many have the pack mentality and may need to be rounded up and sent to the pound for a while.
 
Seems that there is a rule on this site about being rude and attacking people. Many that have replied deserve to receive contact concerning those rules.

OP in general you would not allow a person in your care to walk on a broken leg. That being said is the patient alert and oriented? If yes they can refuse any and all treatments. So if patient states no you can not carry me then they have that right and just document to protect yourself.

I apologize for the rude replies many have given you. It is obvious that many have the pack mentality and may need to be rounded up and sent to the pound for a while.

I've seen your fair share of witty to rude replies....
 
I've seen your fair share of witty to rude replies....

Yes you have so you can be sure I have had the rules shown to me.

Mom used to say 2 wrongs don't make a right. So learn from my mistakes rather than making the same.
 
ummmmmmmmmm, walk? Never

Carry? Yes

I know your knew so lets talk about this, if you were concerned enough about the leg that you splinted. Then why would you ever walk a patient on that leg and possibly make the injury you are concerned about worse?

Not to mention the legal implications
 
Last edited by a moderator:
Living and learning.

Please tell you're not serious because if you are, I'm going to ask the moderators for permission to smack the crap out of you.

In re-going over this thread, I had to chuckle to myself. I didn't respond at first because my take on usaf's comment was he was being incredibly polite to consider asking us first for permission to pounce. For him, that's a huge improvement!:beerchug:

The chances of us granting usaf such license are about as absurd as the idea that the OP would actually walk the patient off the scene!

The "IT" in "walking it out" was obviously the wounded patient and not the act of "walk it out, it'll feel better soon."

Yet, it did take the OP a bit to clarify that the pt. wanted to walk off the field on his own.

No I didn't walk him out, he wanted to walk out.

Have you ever covered a Rodeo? Some of those guys would rather (literally!) die than not get off the field under their own power. So I see the OP reflecting on a dilemma he had to face and I'll gamble there are still aspects of the call he hasn't mentioned.

My other thoughts were grabbing as many people as needed and picking him up and carrying him out.

Underneath it all, perhaps the OP had a concern with liability.

So, once again, a new poster stepped into a den of wolves who make strong judgments in the absence of pertinent information. That goes on here sometimes.

Yet, I don't want to neglect my kudos to those who were the voices of reason and tolerance!

So if I have anything to say it's take in a breath before you pounce, and be aware, when a new person walks in the door, it's usually to learn something and sometimes they need a little guidance as to how to present their scenarios.
 
NO. This patient would never be walked or allowed to walk on a fractured leg.

Yes, they are able to decide for themselves since they are alert and oriented, but if they want any treatment from me and still decide to walk, then they are signing a refusal form indicating they refused extremity immobilization and extrication.
 
In re-going over this thread, I had to chuckle to myself. I didn't respond at first because my take on usaf's comment was he was being incredibly polite to consider asking us first for permission to pounce. For him, that's a huge improvement!
Thank you....I think. LOL

The chances of us granting usaf such license are about as absurd as the idea that the OP would actually walk the patient off the scene!

As far as people being of sufficiently questionable judgment to walk someone with a broken leg to the ambulance, I would not put it past the lazier in our ranks.

So, once again, a new poster stepped into a den of wolves who make strong judgments in the absence of pertinent information.

I asked for clarification before tearing out his heart and taking a bite out of it Aztec style. What more could you ask for? LOL
 
I'll admit I wasn't very tactful in my response although I did state "with the utmost respect"

Along with firetender's post referring to rodeos: this is a very valid example. I have never worked a rodeo but I have a few friends that compete and like he said, they will die before medics take them away unless they "know"/can feel that something is really wrong.

Also what 18g said is very relevant. Just because a PT signs an AMA doesn't mean they are refusing transport. If the PT wants to walk out it is a reasonable request to ask them to sign an AMA relating to ambulating on the presumed fractured leg.

With that said, I stand by my statement of being lazy. 400 yds is not far, I would stress the importance and ramifications of walking on a possible fractured leg. If he still refuses being carried I would insist that he signs an AMA and acknowledges the risks associated with ambulating on it and document the hell out of it.

I don't think I have ever seen/heard USAF ask for permission. :ph34r:
 
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