Extremity Injury Standard

Question 1

Splint

Answer 1

a. assess 5 P’s before and after splinting,
b. splint joint injuries as found,
c. notwithstanding paragraph (b) above, if the distal pulse is absent or the fracture is severely angulated, apply gentle traction; if resistance or severe pain is encountered,
splint as found,
d. if open or closed femur fractures, splint with traction splint unless limb is partially amputated, or other injuries found that effect traction
e. if extremity injury affects a joint, immobilize above and below the injury site,
f. if adequate circulation/sensation is absent after splinting and re-manipulation is possible, gently re-manipulate the extremity to restore neurovascular status,
g. if it is practical to do so, elevate the affected extremity, and
h. consider application of a cold pack over the affected extremity;

Question 2

in cases of open fractures

Answer 2

a. irrigate with saline or sterile water if gross contamination, and
b. cover ends with moist, sterile dressings and/or padding; and
c. log cabin the bone