Trauma (Fracture/Dislocation) Flashcards
1
Q
What are the principles of good prehospital management of fracture/dislocation?
A
- control external haemorrhage
- apply good splinting practices
- resolve neurological or vascular compromise where possible
- use judicious analgesia
2
Q
Pelvic splint notes…
A
- pelvic splints are a haemorrhage control device. If there is suspicion of a pelvic injury, a splint should be applied as a priority
- if the patient has inadequate perfusion and/or altered conscious state following a mechanism that may result in a pelvic injury, a pelvic splint should be applied as a priority
3
Q
If a patient has a suspected pelvic and femur fracture, which splint do you apply first?
A
the pelvic splint takes priority
4
Q
Should you log roll a patient with a suspected pelvic injury?
A
no, as it may mobilise the pelvis and disrupt clots
5
Q
What are some indicators of neurological or neuromuscular compromise?
A
- Altered sensation
- loss of a pulse
- cold/dusky skin in a limb distal to a fracture or dislocation
6
Q
What are the preferred travel times for dislocations?
A
- dislocations with neurological or neurovasular compromise should be urgently transported within 15 mins
- Where travel times exceed 15 minutes, consult the receiving hospital and consider dislocation relocation at scene
7
Q
If reducing an open fracture prehospitally you must
A
- provide analgesia
- irrigate with 500ml-1L NaCl prior to reduction
- apply traction and gentle counter traction in the line of the limb - this should reduce most fractures
- If required, further manipulation should be done whilst the limb is still under traction
- splint the limb following reduction
8
Q
What are the general principles of reducing a dislocation?
A
- provide procedural analgesia
- apply sustained traction in the longitude direction away from the joint
- have an assistant providing counter traction about the site of injury
9
Q
Recite the Fracture/dislocation CPG
A
