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.

Difficulty: Easy

Instructions

1. Assess for fracture (see "How to Assess for Fracture").

2. Immobilize the injury. Any movement is not only very painful but can worsen the injury.

3. Decide whether or not to realign the fractured bone, and realign if necessary (see "How to Realign a Fractured Bone").

4. Clean and dress all wounds (see eHows on wound management).

5. Remove tight clothing, watches, jewelry - anything that could impede circulation.

6. Check circulation, sensation and motion beyond the fracture site.

7. Splint the fracture (see eHows on splinting).

8. Recheck circulation, sensation and motion beyond the fracture site.

9. Elevate the fracture 6 to 10 inches to reduce swelling.

10. Apply cold packs or ice to the fracture, as long as there is no risk of hypothermia or frostbite.

11. Monitor and treat for shock (see eHows on shock).

12. Give ibuprofen if pain is persistent and there are no signs of shock.

13. Proceed with treatment for other injuries.

14. Evacuate.

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.

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