1. Remove Reel Splint from storage case.

2. Disconnect ischial strap. Remove ankle harness and traction ratchet from splint.

3. Loosen outside (distal) hinge knobs and return splint to neutral position.

4. Loosen top (proximal) hinge knobs so splint can be controlled. Place tension on hinges to allow for firm movement.

5. Determine placement, i.e., anterior, posterior, lateral, or medial.

6. Adjust splint to match extremity position and place on limb.

7. Fine tune angle adjustment for proper fit and securely tighten both distal and proximal hinge knobs.

8. Apply support strap, pulling tab securely. Stabilize splint to prevent movement to injured extremity.

9. Loosen proximal length adjuster, adjust for proper length. Retighten and repeat process for remaining adjuster.

10. Apply ischial strap.

11. Loosen distal length adjusters, extend to desired length, retighten.

12. Apply and retighten remaining support straps.

13. Wrap Harding Strap under foot and attach to distal crossmember.

14. Survey placement, recheck for tightness and extricate.

1. Apply splint with lengths fully compressed.

2. Use the dual ladder lock buckle attached to straps A & B. Dual ladder lock buckles allow for tightening from either side of patient, one side at a time.

3. Ischial strap is scissored, connected and tightened. Buckle strap A behind knee, scissor to proper placement, keeping buckle centered under limb, tighten.

4. Blueprinting - used for rapid stabilization during extrication. Use hands in place of straps.