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How to deal with fractures in first aid? Star Awareness Project
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In the early stage of fracture, proper immobilization of the injury, correct on-site first aid and safe transport measures can effectively help patients reduce pain and prevent secondary injury. So what emergency treatment can we do for patients before the arrival of professional helpers?
If at home or in the field, when we judge that a fracture is possible, the first thing that comes to mind is to take first aid**, and we can choose self-first aid appropriately before the arrival of professional medical personnel.
At this time, we only have some similar backpacks, satchels, scarves, small strips of cloth, books or our own shoelaces, trekking poles, belts, etc. These can be used to fix fractures. Here are a few simple ways to fix a fracture.
For example, a wrist fracture, a forearm fracture, an elbow or an upper arm fracture, we can put the satchel around the patient's neck, wrap it around his forearm, and then ask him to hold the strap of the satchel. That's the simplest fix. We can also use a scarf to fix the patient's affected limb, first wrap the scarf around the patient's neck and tie a knot through the forearm, which can have the simplest fixing effect.
If it is a fracture of the lower limb, we can fix it with trekking poles, so that the patient's leg is straight, and the trekking poles are placed on the outside of the patient's leg. Then use a belt to fix one calf and then one thigh, so that the fracture is fixed.
Anxin Medical said that when an accidental injury occurs in life, we must be alert to whether a fracture has occurred, and when it is impossible to judge from the surface, we can use the method of longitudinal percussion pain to judge ourselves; The fixation of the initial fracture is very important for the patient, and the correct fracture method should be mastered in time for emergencies.
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5 steps of on-site first aid, which can save lives at critical moments.
1.Initial assessment to quickly and effectively determine the patient's injury.
2.Hemostasis: Stop bleeding by acupressure, bandaging, tourniquet and other methods.
3.Bandaging: Cover the wound with clean cloth and clothing, and then bandage it with a cloth tape; When bandaging, it should not be too tight or too loose to prevent the wound from continuing to become infected.
4.Proper fixation: Accurate and timely fixation of the affected area can reduce the pain of the casualty and the continued damage of the surrounding tissues, and at the same time facilitate handling and transfer. Local materials, such as sticks, branches, cardboard, etc., can be used as fixing tools;
5.Safe transport: After a simple rescue on the spot, the injured will be immediately transferred to the hospital for treatment. During the transport, the movements should be light and steady, to prevent vibration, and to reduce the pain of the wounded as much as possible.
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1. Understand the process, time, type of violence, size, direction, location, and extent of the patient's injury to estimate the severity of the patient's injury.
2. If the fracture patient is in a state of shock, anti-shock should be the top priority, and blood transfusion and oxygen should be taken immediately when conditions permit. Do not move around to avoid aggravating the degree of shock. In patients with confusion, coma, and pupil changes, care should be taken to keep the airway open.
If necessary, the tongue can be pulled out of the mouth to avoid obstruction of the airway.
3. For all patients who may have fractures, they should be treated according to fractures, and do not move patients at will, so as not to aggravate the injury. It is not necessary to remove the patient's clothes to avoid excessive movement of the injured limb and increase the pain, and if the limb is swollen significantly, the clothes can be cut.
4. For the bleeding of the wound of open fracture, pressure bandaging can be used to stop the bleeding. When the bleeding of large blood vessels cannot be stopped by pressure bandaging, a tourniquet can be used to stop the bleeding, and the pressure and time of using the tourniquet can be recorded. The wound should be covered with a sterile dressing or a clean cloth to reduce recontamination.
If the fracture has been poked out of the wound and has not compressed important blood vessels or nerves, it should not be reduced to avoid bringing contaminants deep into the wound. It should be taken to the hospital for debridement before reduction.
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