reduce pain , immobolize bone ends to prevent more damage, make the muscles contract to prevent further blood loss
corrects the fracture
increases perfusion to the muscle.
contracts the thigh muscles.
the bone rubbing around inside can cause more damage
Laceration of previously intact blood vessels
Increased risk for infection
New fractures along the bone
Conversion of an open fracture to a closed fracture
After we splint his wrist, we will need to elevate it during transport to decrease the opportunity for swelling.”
Make sure to wrap that splint as tightly as you can; we need a lot of pressure to prevent additional swelling.”
When you splint that arm, make sure that it is somewhat loose so the patient can move it if he becomes uncomfortable.”
Since he still has a pulse in that arm, the swelling must be from a muscle injury. We can forego the splint and just apply ice packs.”
pms pulse and touch
Can you tell me what finger I am touching?”
Does your hand feel as though it is asleep?”
Can you tell me if you have paresthesia in your hand?”
Do you have feeling in your hand?”
immobolize above and below the injury joints, bones
Ice packs wrapped in towels have been applied to the skin between the splints.
The splint has immobilized the ankle, knee, and hip regions.
The patient is able to flex her left ankle when directed to do so.
The skin of the foot is red and swollen with a weak pedal pulse noted.
position of fuction as if they were holding a ball
Fingers extended and spread
Fingers curled inward
Hand in a fist with thumb inside fist
Wrist flexed with fingers extended
If a joint injury is suspected, ice packs and not splints are indicated.”
The care for a patient with a joint injury is identical to that of a fracture.”
If a distal pulse is absent, three attempts to straighten the joint can be made.”
Warm packs, not cold packs, are indicated for a patient with a possible joint injury.”
Let’s put his leg in the traction splint to help align the femur and reduce pain.”
Let’s immobilize him to the long spine board and then transport him to the hospital.”
We need to wrap the right leg in a pressure dressing and then elevate it for transport.”
Check for a pedal pulse and then carefully move him to the stretcher for transport.”
deformity to hip or pelvis, distal portion is hanging by skin lol, the knee has been injurted
Decreased pedal pulse
Numbness to the foot
Deformity to the hip
Mechanical traction should be applied until the mechanical traction is equal to the manual traction and the patient experiences a reduction in pain.”
Once the traction splint has been positioned under the leg, and the ankle hitch is applied, manual traction can be released.”
Once the mechanical traction has been applied, the ischial strap must be released to promote circulation into the affected leg.”
Mechanical traction should be applied until the affected leg is approximately 1 to 2 inches longer than the unaffected leg.”
pressure in the space outdoes the pressure for capilary refill . cutting off circulation
It is commonly associated with bone fractures and can result in hemorrhagic shock if not treated.”
It is a life-threatening condition that will lead to death if not recognized and treated.”
It can be treated in the prehospital setting by applying warm packs and elevating the extremity.”
It describes swelling in the tissues that can result in the loss of an extremity.”
syptoms include hard on palpation, weakness in extremity, paralysis of extremity , severe pain / burning
degeneratice bone disorder. accelerated loss of minerals and bone calcium
non traumatic disclocation
arterial compromise more serious than a pelvic fracture
Swelling on the right knee
Absent pedal pulse
Ecchymosis of the right hip and knee
Crepitus at the right hip
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