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How to Treat an Open Fracture During First Aid

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From Quick Guide: Sprains Vs Breaks

Summary: When dealing with an open fracture, the first consideration is to control the bleeding, after which the site can be wrapped without cutting off circulation. Discover how to make a splint to make the patient more comfortable with help from an emergency medical technician in this free video on treating open fractures.

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By Rebecca Boutin
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Rebecca Boutin graduated from the paramedic program at Springfield College in Springfield, Mass. in 1992. She has worked for the city of Westfield, Mass. as an emergency medical...read more

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Video Transcript

"When dealing with an open fracture, please refer to your local protocols. In this case, we may be looking at a lower leg fracture that's opened. Your first consideration is to control the bleeding. I have five by nine dressing that I will place over the fracture site and I'll apply direct pressure. Once the bleeding has been controlled, you can wrap cling right around the site. You don't want to wrap this too tight so that you cut off circulation. If the bleeding has not been controlled at this point, don't take the dressing off, just reapply another dressing and more pressure and keep adding on to it. Once this is done, you're going to want to apply the splint. This is going to help control bleeding a little bit more and also make it more comfortable for the patient. When using a splint, use a Bridget splint on the soft side. You're going to put the soft side against the patient and you're going to want to find an appropriate size splint that uses the joint above the break and also the joint below the break. If available, use one splint on either side. There's many ways you can place this splint on the patient. I'm going to use triangular bandages. You can use tape. When using triangular bandages, make sure that they're not go actually on the splint itself and not against the patient skin. You're simply going to use an over hand knot and I like to double it up because it keeps it from moving once it's been tighten and I like to use a square knot. If you placed the first one above the joint, the next one above the break itself and one below the break. It's also imperative that before and after you splint a break that you check for pulse motor and sensory that can be done by checking the pulse here. Can you feel me touching you? Can you please move your toes?"

eHow Article: How to Treat an Open Fracture During First Aid

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