Critical interventions for Fractured and dislocations?
- As soon as you identify any potential fracture or dislocation in either your patient overview or primary survey you should:
- 1. Delegate a partner to manual immobilize the area. Do not splint on scene with a critical patient, manual immobilize only. Splint after assessing the area in the secondary (en route to hospital).
- 2. If no distal circulation on the potentially fractured limb, the EMR should realign to anatomical position in an attempt to restore circulation immediately after confirming the absence of circulation. There is only 1 realigning attempt made in the field.
- 3. Never attempt to realign any fracture that can include a joint, if it does involve the joint immobilize only, It is cut of scope for EMR'S to reduce dislocations.
- 4. EMRs do not apply traction to fractures. A traction splint is used for mid-shaft femur fractures, in this case the tractions splint is applying the traction. The end points of a traction splint are:
- - 10% of the patients body weight
- - Max of 15 lbs of traction (if you are using a bilateral traction splint the max is still 15 lbs)