f. Open and Position Support Straps. The splint has five straps, the ischial
(top) strap and four Velcro leg support straps. Have the assistant open all five straps
and position the four Velcro support straps in the following positions:
(1) Position the first leg support strap (first strap below the ischial strap) so it
will secure the thigh above the fracture site.
Position the second leg support strap so it will secure the thigh below the
Position the third leg support strap so it will secure the lower leg below
Position the fourth leg support strap so it will secure the lower leg above
g. Prepare Ratchet. Have the assistant release the ratchet, pull the traction
strap over the top of the ratchet, and place the "S" hook so the hook hangs off the splint.
h. Apply the Ankle Hitch to the Boot. Have the traction assistant apply the
ankle hitch in the following manner:
(1) Slide the three-ringed ankle strap under the heel of the casualty's boot
with the padded side of the strap against the foot. Place the bottom edge of the heel
even with the lower edge of the sponge padding as shown in figure 3-1.
You will need to change your grip on the casualty's ankle and foot to allow the
assistant to apply the traction strap while you maintain your support. After
the strap is applied, your hands should be over the "X."
Crisscross the side straps high over the casualty's instep so the straps
form an "X."
(3) Bring the ends of the crisscrossed straps down to meet the center strap.
Hold all three straps in place.
(4) Twist the center strap until it is even with the two side straps, all three
straps can be firmly grasped, and the three "D" rings at the end of the straps are
together (see figure 3-2).