Ski boot removal

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Chip N Sawbones

Ship's Carpenter
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Back in my premed days I was shadowing an EM physician when a patient came in with a tib/fib fracture after a skiing accident. The fractures were just above the top of the ski boot, and the doctor told me that was where legs usually broke after skiing accidents. He called in ortho, and together they pulled the boot off. The patient was breathing nitrous, but he was still in agony from the doctors pulling on the boot to remove it. I was surprised this was how it was done, since I had plenty of tools in my carpenter's shop that could have been used to cut the boot off, and it seemed to me that pulling on the leg like they were could risk fragmenting additional pieces of bone from the fracture site.

For those of you who work in areas with snow, how is ski boot removal done in your shops? Would there be any market for a ~$100 power tool that could safely and easily cut through materials like hard plastic that are too thick and tough for trauma shears? I would ask my local EM doctors, but this is New Orleans and nobody here knows what snow, skis or hills are.

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Cast saw. Works for football helmets too...
 
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Probably a very small market. I have met my match with the few unlucky policeman who came in as traumas. Their bullet proof vests are super hard to take off! Multiple straps on the shoulders and back and you can't cut it off at all.
 
Probably a very small market. I have met my match with the few unlucky policeman who came in as traumas. Their bullet proof vests are super hard to take off! Multiple straps on the shoulders and back and you can't cut it off at all.

You are using the wrong shears.

These can cut through steel. http://www.leatherman.com/831741.html When I got them I cut a metal clipboard and a fork in half just to see if they worked.
 
The ski patrol should take the boot off before it gets to you, thays what we teach at the placed ive patrolled and has been the case at my hospital

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Some ski patrols have medical control that tells them to leave the boot on. Or at least some did. As far as I can tell, there's no national (WMS, etc) guideline about removal, but most would recommend it.
 
Thanks for the replies, everyone. Yesterday my school held a medical innovation talk that I attended for the free food, and this popped into my head as a possible problem that I could develop a solution for. Looks like you guys have got it covered.
 
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