With new found 1st hand knowledge-----I agree with Lars on this damn near 100%. I felt as much before, but having just watched Bonni go through an Open fracture within the boot --- I am thouroghly convinced now that sedation is necessary and removal should wait until then--- in all but the most severe bleeding cases or those with extensive transit time to higher level care.
Schweitzer's patrol did a fine job.
Which goes back to my original shock of any Patrol removing a boot of a spiral or open fracture patient. No way in he!! would I attempt to do so. Putting anyone through that without sedation or without the help of emergency room personell is mindboggeling. It also seems to me that Copper Patrol and facilities are top notch. I know the fine job they did with my Son will stick with me a long time.
I don't know what the consensus has been here but from my personal experience and from the testimony of a few here it's better to leave the boot on till the patient is sedated and in an emergency facility. Of course, every Patrol is different, but should they be?