Fractures
Traumas of the extremities may occur frequently. There are different types of such traumas, in particular, closed and open.
Closed traumas are usually caused by a fracture or a displacement of the bone with no apparent injury on the surface of the skin. Open traumas occur when a fragment of the bone breaks through the surrounding tissues and surface of the skin; the bone can thus be seen.
Signs and Symptoms
• Pain
• Deformity at the injury site
• Decreased mobility, sensitivity and muscle strength
• Variation in the colour and temperature of the limb
• Presence or absence of an open wound
• Edema (swelling or puffiness of the limb)
• Numbness of the limb.
When these signs and symptoms are present, the injury should always be treated as a fracture or displacement. All traumas of the extremities must be treated with care, as improper handling can have serious consequences. A fracture can cause injuries to the blood vessels and nerves.
An open wound can also become infected. The first aider must follow certain basic principles when stabilizing the injury. It is recommended that the injured limb be stabilized in the position in which it was found to prevent any movement that could aggravate the injury. The first aider must not apply traction or try to reposition the limb. If the casualty must be moved, the injured limb must be completely immobilized beforehand so as to reduce pain and again, to avoid aggravating the injury.
The colour, heat and feelings of numbness in the extremities must be verified before and after immobilization. The bandages used to secure the bone splint must never be tied over the injury site or a joint, as this could hinder circulation, increase pain and aggravate the injury. The joints above and below the injury must also be immobilized. An open wound must be protected with a dry non-pressure dressing.
1.Complete the sentences.
• Immobilize … … … with a …
• Use a … … splint or made from any … …
• … movements of the joints near the fracture.
• … the splint in place above and below the fracture.
• In a case of a compound fracture, take some … … and put it over the …
• Take the patient to the …
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