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. 2011 Jul;41(1):74-6.
doi: 10.1016/j.jemermed.2010.11.024. Epub 2011 Feb 5.

The "Superhero Cape Burrito": A Simple and Comfortable Method of Short-Term Procedural Restraint

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The "Superhero Cape Burrito": A Simple and Comfortable Method of Short-Term Procedural Restraint

Julie C Brown et al. J Emerg Med. .

Abstract

Background: Restraint is sometimes necessary to successfully perform procedures on pediatric patients in the emergency department. A papoose may be intimidating and uncomfortable, and a wrapped sheet may not keep the child's arms from wiggling free.

Discussion: We present an adaptation of the wrapped sheet (burrito) technique, using a pillowcase to better immobilize the child's arms. The arms are inserted in the pillowcase behind the child's back, and then the child is placed supine over a horizontally placed sheet and turned to each side so the sheet is tucked behind the back. The child is thereby easily and comfortably restrained.

Conclusions: We believe this technique more successfully restrains the child than the wrapped sheet alone, and is easier to execute than other wrapped sheet techniques aimed at improving arm immobilization.

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