Portable medical restraints

Anyone has ideas of restraint techniques, using gear that can be part of a portable medical play kit?

There are lots of temporary / velcro type restraints that can be brought into medical play. Probably pretty easy to find even in a local adult boutique.

I have used the disposable BP (blood pressure) cuffs we got while one of us was in the hospital. You could probably find them, and other 'velcro' restraints, thru a search engine. I also found some good, new, leather dog collars @ a thrift store not long ago.

Inexpensive: At the thrift store/garage sale get men's leather belts. Punch or drill new holes to fit the wrist and ankle sizes. Get a "DEE" ring at the hardware store. Punch or drill holes to fit in the belt. Split the dee ring, force through the holes and twist back. Now get some lamp hanging chain, snap clips and you're in business.

Old nursing texts recommended roller gauze (kerlix) for mild restraint in surgery or the ICU of a confused patient. This from Charly D Miller on the web

THE "FULL KNOT" METHOD OF LIMB RESTRAINT:

Take a doubled length of roller gauze and place it around the patient's wrist, with the wrist at the center of the roller gauze length.

Tie a half-knot, tightening the restraint until it cannot be slid off the patient's wrist, but does not occlude distal circulation.

Finish the knot by tying another half-knot once the appropriate size is reached - this is a "full" knot.

Anchor the full-knotted-restraint at the same T-junction that any other restraint is anchored. (If replacing a slip-knot, be careful to tie this new restraint above or below the slip-knot. If tied on top of the slip-knot, when the old restraint is severed, the full-knot's material will become loose, also loosening the new anchor.)

Check for circulation impairment.

THE "LOCKED" CLOVE HITCH RESTRAINT:

Using a doubled length of strong roller gauze, assemble a clove hitch. (If you don't know how to do one, find a Boy or Girl Scout and ask them to instruct you!)

Slide the clove hitch onto the patient's limb and snug it down so that it is tight enough to prevent sliding off of the patient's hand, but not tight enough to impair distal circulation.

Tie a "half knot" on top of the snugged clove hitch. This will "lock" the clove hitch so that it will not become tighter - in spite of patient struggles to defeat or escape from such a "soft safety bracelet."

Anchor the locked clove hitch restraint at the same T-junction that any other restraint is anchored. (If replacing a slip-knot, be careful to tie this new restraint above or below the slip-knot. If tied on top of the slip-knot, when the old restraint is severed, the full-knot's material will become loose, also loosening the new anchor.)

Check distal circulation.

Bratwurst you are such an expert

Nylon dog collars, the ones with the snaps which pop together and apart easily and can be pre-adjusted, are ideal. They can be adjusted to fit the wrists and ankles, so they're ready when needed. The leash ring is also perfect for attaching to the stirrups or sides/top of the table (using another piece to attach them to, of course). One of the simplest methods is to obtain two nylon leashes, tie them together at just the proper distance, and run them under the exam table (if you have one) or whatever surface you're using as a table, so the clasp pokes out at the right placement on either side of the table. One the "wristlets" have been attached to the patient, it takes a matter of seconds to secure her wrists once she's lying back. This position prevents her from moving her hands and arms, while leaving her torso accessible. As mentioned, dog collars can also be used on the ankles, or the longer nylon binding straps (sold for securing luggage, etc.) can be used to attach across the legs or shoulders. If one had knee crutches, the larger dog collars work fine for securing the legs as well.

Very good ideas Dr. S. I prefer this type of restraint as well as caribeners to make for quick release. Always good when dealing with enemas especially. Nothing like having to fumble for handcuff keys when the time comes to expel. And the nylon is very strong and flexible. If you wanted a belt to wrap over the torso, buy a dog leash and a cheap collar and for a few bucks any shoemaker will sew the buckles onto the leash for you. Without asking too many questions. You can often find this type of collar in dollar stores. Buy a bunch.

I just took delivery of the sportsheets thigh and wrist cuff set. I used them earlier today as a makeshift stirrup by hooking the ankles to the thighs. add another set on the wrist and clips them together and you get a very compliant patient.the thighs to ankles keep the knees bent, while the wrists keep the thighs up high enough for full access.

Most beds, even hotel beds have some feet or other connection point underneath. I have a set of foot long rope loops with carabiners that I loop thru each bed foot with the carabiner readily accessible for attaching anything.

A guy I used to see for s regular inspection in hotel rooms had a set of bungie steals from Halfords that attached easily to the bed and were very effective in hold my legs high and spread

My Skedco Spine-Splint II device is good for this.. can be used for sit-up or lie-down positions. Hope to start having it used on me and use on others sometime soon! 😃 used with a c-collar.

https://skedco.com/product/oregon-spine-splint-ii-coyote-brown/

Often available for less than $100 on ebay.. NEW! EVIL military medical restraint. 😃