Extremity Injuries

From Protocopedia
Jump to: navigation, search

Section 6 - TRAUMA

6.06 EXTREMITY INJURIES

INITIAL TRAUMA CARE, (2.02)

SUSPECTED FRACTURE:

  • Splint suspected fracture sites in most appropriate fashion:
    • Fractures may be immobilized with padded board splints, ladder splints or air splints.
    • Femur fractures may be immobilized with a traction splint or inflated MAST.
  • Place cold pack on suspected fracture sites.
  • If distal pulses are present and neurological function intact, immobilize apparent fractures in present position, (when possible).
  • If distal pulses are diminished or absent, immobilize apparent closed fracture(s) in neutral anatomic position. Attempt to reduce severely angulated fractures with inline traction, except when a joint is involved. Note pulses distal to fracture site. Apply appropriate splinting and dressings.
  • If open, (compound), fracture, cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.

DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.


DIFFICULT TO CONTROL BLEED OR TRAUMATIC AMPUTATION:

  • If unable to easily control bleeding, consider the following procedures:
  • For amputations:
    • Splint in line with associated extremity.
    • If amputation incomplete, attempt to stabilize with bulky pressure dressing.
    • Cleanse amputated part with sterile saline. Wrap in a sterile saline soaked dressing. Place in plastic bag. Attempt to cool with cold pack during transport.
    • DO NOT APPLY DIRECTLY TO ICE
  • Refer to ANALGESIA /SEDATION PRACTICE PARAMETERS (2.04).