Fracture/Dislocation CPG Flashcards

1
Q

What are the general principals for reducing a fracture?

A
  • Provide procedural analgesia
  • Irrigate with 500ml-1L normal saline if fracture compound
  • Apply traction and mental contour traction
  • If further manipulation required this should be done under traction
  • Splint following reduction
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2
Q

What are the general principals of relocating a dislocation?

A
  • Provide procedural analgesia
  • Apply sustained traction in longitudinal direction from joint
  • Have assistant providing counter traction above the injury
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3
Q

What do you do if a person has compromised neurovascual observations?

A

Transport them to the nearest higher level care within 15 minutes. If Travel time exceeds 15 minutes consult for further information.

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4
Q

What constitutes time criticality in a patient with a fracture?

A

Altered sensation, cold skin, loss of pulse or indicators of neuromuscular compromise as it is a threat of loosing the limb.

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5
Q

When should a pelvic splint be applied?

A

If there is suspected pelvic fractures due to injury to pelvis
If there is suspected haemorrhage as it acts as a haemorrhage control device

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6
Q

If a patient has both a suspected pelvic and mid shaft femur fracture what do you do?

A

Apply both the CT6 splint and pelvic splint. The Pelvic splint should be prioritised and applied first.

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7
Q

What can you not do with a patient in a pelvic splint/with a pelvic injury and why?

A

Log roll them as it may displace blood clots.

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8
Q

If you need to relocate a dislocation what should be considered?

A
  • Ability to provide sufficient analgesia

- The chance of successful relocation

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9
Q

What are the care objectives of the CPG?

A
  • Control external haemorrhage
  • Apply good splinting
  • Resolve compromises in neuro-vascular compromise where possible
  • Use judicious analgesia
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10
Q

When should you prioritise pelvic splinting

A
  • When there is a suspected pelvic fracture

- inadequate perfusion, altered conscious state secondary to mechanism that may cause pelvic injury

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11
Q

If there are compromised neuro-vascular observations for a fracture what should you do?

A

Provide pain relief and reduce the fracture and apply appropriate splinting

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12
Q

If there is a dislocation with compromised neuro-vascular observations what should you do?

A

Prioritise transport and consult with clinician to receive advise around relocation.

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13
Q

When should you re-asses neuro-vascular observations ?

A

Whenever you Manipulate, apply a splint or apply a sling.

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