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Step 1
Assess for fracture (see "How to Assess for Fracture").
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Step 2
Immobilize the injury. Any movement is not only very painful but can worsen the injury.
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Step 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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Step 4
Clean and dress all wounds (see eHows on wound management).
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Step 5
Remove tight clothing, watches, jewelry - anything that could impede circulation.
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Step 6
Check circulation, sensation and motion beyond the fracture site.
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Step 7
Splint the fracture (see eHows on splinting).
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Step 8
Recheck circulation, sensation and motion beyond the fracture site.
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Step 9
Elevate the fracture 6 to 10 inches to reduce swelling.
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Step 10
Apply cold packs or ice to the fracture, as long as there is no risk of hypothermia or frostbite.
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Step 11
Monitor and treat for shock (see eHows on shock).
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Step 12
Give ibuprofen if pain is persistent and there are no signs of shock.
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Step 13
Proceed with treatment for other injuries.
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Step 14
Evacuate.







