How to Treat a Closed Fracture During First Aid
Fractures are serious injuries, especially in the wilderness when help is far away. Treat a closed fracture with these steps.
Instructions
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1
Assess for fracture (see "How to Assess for Fracture").
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2
Immobilize the injury. Any movement is not only very painful but can worsen the injury.
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3
Decide whether or not to realign the fractured bone, and realign if necessary (see "How to Realign a Fractured Bone").
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4
Clean and dress all wounds (see eHows on wound management).
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5
Remove tight clothing, watches, jewelry - anything that could impede circulation.
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6
Check circulation, sensation and motion beyond the fracture site.
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7
Splint the fracture (see eHows on splinting).
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8
Recheck circulation, sensation and motion beyond the fracture site.
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9
Elevate the fracture 6 to 10 inches to reduce swelling.
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10
Apply cold packs or ice to the fracture, as long as there is no risk of hypothermia or frostbite.
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Monitor and treat for shock (see eHows on shock).
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12
Give ibuprofen if pain is persistent and there are no signs of shock.
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13
Proceed with treatment for other injuries.
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14
Evacuate.
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Tips & Warnings
Don't apply cold packs directly to the skin: Wrap cold packs in socks or other clothing.
Leave the fracture site uncovered: It's important to be able to monitor the area during evacuation.
Some fractures - particularly of the pelvis or femur - are frequently associated with severe bleeding. Treat for bleeding as necessary (see "How to Treat Severe Bleeding") and continue monitoring for shock.
This information is not intended as a substitute for professional medical advice or treatment.