NVIC Method

Show NVIC method.

STCW Competence Knowledge, Understanding, and Proficiency

Apply immediate first aid in the event of accident or illness on board

AFA-X1.07 Fractures, dislocations and muscular injuries

Condition Behavior Standard

In a graded practical exercise, given a simulated non-critical patient and assistance from a second rescuer, and using a device to apply traction to the femur (Hare traction, Thomas D-ring, or Sager splint),

the candidate will properly immobilize and apply traction to a simulated femoral fracture.


The candidate properly applies, within 10 minutes, an appropriate femoral traction device (Hare traction, Thomas D-ring , or Sager splint), performing the following tasks:

a. manually stabilizes the leg;
b. assesses neuro-vascular distal function;
c. properly measures and prepares device for application;
d. applies and maintains manual traction while: i. positioning device on leg; ii. securing proximally; iii. securing distally; and iv. applying mechanical traction;
e. secures supporting straps; and
f. re-evaluates distal pulse and neurological status.

MMA Method

In order to satisfy NVIC 05-04 Task 1.3.A , MMA students must:

  • Successfully complete MMA Assessment MFA-1M3A Immobilize and apply traction a victim with a broken femur