Grady Straps - Grady Straps

Grady Straps

Grady straps are a specific configuration forming a criss-cross “X” across the chest and a “V” across the pelvis in a harness-type fashion using only two long straps. This technique is highly effective for stabilizing both the upper torso (shoulders and chest) and the lower torso (pelvis). Grady straps protect against movement in all directions: up, down, left, and right, and prohibit the patient from sliding on the backboard. Because this method prevents anterior, posterior, and lateral shifts, it is very useful for high-angle rescues and awkward extrications where the backboard must be rotated sideways or tilted vertically. Grady straps are also effective in situations where the backboard must be positioned in a way other than supine, such as left lateral recumbent (or recovery position) for pregnant patients. This method also allows the backboard to be tilted in order to facilitate patient care in cases of emetic episodes where protecting the airway against aspiration is crucial. Another benefit of Grady straps is that they can be applied in a quick, timely manner which enables rapid transport for trauma patients.

Grady Emergency Medical Service (Grady EMS Website) in Atlanta, Georgia implemented this strapping technique over eight years ago. Grady straps are the ONLY accepted technique for Grady EMS field personnel to immobilize a patient with possible spinal injury to a long backboard. Members of the Atlanta Fire Department also utilize Grady straps. The National Association of Emergency Medical Technicians (NAEMT Website) in cooperation with The Committee on Trauma of the American College of Surgeons also recognizes the effectiveness of this technique in the Prehospital Trauma Life Support, 6th edition textbook.