First aid for fracture

First Aid for fractures:

Key principle for any fracture management: prevent movement at site of injury, by immobilising joint above and below the fracture. This helps prevents risks of further bleeding, or injury. Movement required to immobilise the site should be done carefully and preferable after patient has received pain management.

Treatment of fracture

  • · Support injured part in a position of comfort.
  • · Tell and warn the patient what needs to be done at each stage – cooperation.
  • · Cover all wounds including bone ends using sterile/clean dressing.
  • · Don’t apply direct pressure on protruding bone from an open fracture.
  • · Controls bleeding by applying a dressing pad and bandage diagonally to provide pressure.
  • · Support the fractured site and immobilise it.
  • · Apply ice to reduce internal bleeding and provide some pain relief.
  • · Provide pain relieve of available, and if trained to administer it.
  • · Call 000 ASAP.

Leg Fracture

Anatomical immobilisation:

  • · Carry out DRABCD
  • · Tell patient what has to be done, and then at each stage what you are going to do.
  • · Always warn before carrying out the next step – so that they cooperate.
  • · Take control of the leg by holding the ankle under the heel and on the front of the foot.
  • · Support the fracture site and apply gentle traction by pulling the ankle in line with the leg.
  • · The support and traction should reduce the pain.
  • · Support the injured leg and move the good one besides.
  • · If you have padded board splints then place one between the legs with the end firmly against the groin, then place another on the outside of the fractured leg extending from the ankle to the waist.
  • · Pad the gaps between the legs. Rolled up towels can be used.
  • · Secure the good leg to the fractured leg using broad bandage (joins the ankles, apply bandage on top of the thigh/waist, apply bandage below and above fractured site, and to the rest of the leg).
  • · Don’t release traction until the fracture leg is secured to a splint or the patient’s uninjured leg.
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