curious how you handle broken legs in north America. On my ski-hill we're not allowed to remove boots when we suspect a broken leg. IMO this is wrong for many reasons, mostly because of the swelling that will happen and make boot-removal more difficult and painful for the pax.
On a first aid class last spring given by the Norwegian Air Ambulance I asked the two instructors the same question. They were both very skilled, one had worked 20+ years in the ER and was a chief-nurse specialized in OR procedures, the other had 30+ years experience as an ambulance and air ambulance medic. They both stated that a quick removal of boot(s) would benefit the pax. In Norway anybody riding in an ambulance or air ambulance must qualify as an RN.
My neighbour is an orthopedic surgeon working on his doctorate in leg fractures, he agreed with the two above and went further : Get them off even if it causes the pax much pain, it'll be even more painful if removed later after the body's inherent painkillers wear off. When asked if this would apply to an open fracture he would still have removed the boot(s). He's a skier himself.
Other doctors I've asked the same question also agree.
My ski-hill is quite small and patrol will be on location no more than 5 minutes after getting the call.
I will only temp as a patroller this season as I will be too busy instructing to take on a full shift, but I hope to change the procedure re broken legs.
I have asked if this is a liability issue for my ski-hill or if there are other reasons for the non-removal policy, but the answers I get are not really answers, so IMO they don't know why this policy stands.(They also get a bit grumpy when a newbie brings this up).
How do you handle a broken leg on your resort?