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I'm thinking this might be a case of nondisplaced fracture. From the initial post, I was already considering the inverted KED, just from the high index of suspicion.

In the event that the fracture was nondisplaced, the KED would have kept it that way, and they should have been removed from the house via LSB.

The patient stated that there was relief from having her legs extended, this would have also occurred with use of the KED.

If the fracture had been displaced (or completed) during the move from the cot to the gurney, again, the inverted KED could have helped prevent further injury.

The logic is sound, and had my partner suggested it, I would have supported it.

Far too often, there's a 'power struggle' on the trucks because someone always seems to want to be the 'boss', ("I'm the Senior Partner", "I've got a higher license than you!" etc, ad nauseum)

It sounds to me like Ugly's 'spidey sense' was spot on...

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