(1) If the fracture site is not on a joint, immobilize the joint above the fracture
site and the joint below the fracture site.
(2) If a joint is fractured, apply the splint to the bone above the joint and to
the bone below the joint so the joint is immobilized.
Pad the splint at the joints and at sensitive areas to prevent local
Minimize movement of the limb until it has been splinted.
(a) If the shaft of a long bone is fractured and severely deformed, apply
gentle manual traction to attempt to align the limb so it can be splinted.
(b) If resistance is encountered when manual traction is applied, stop
your efforts and splint the limb in the position of deformity.
If the femur is fractured, a traction splint is available, and sufficient personnel
are available, apply the traction splint to the leg using the procedures given in
Lesson 3 of this subcourse.
Secure the splint above and below the fracture site.
(a) Recheck the pulse below the securing device (cravat, strap, or
other material) each time a securing device is applied. If the device interferes with
blood circulation, loosen and retie the securing material.
Never apply a cravat or other securing material directly over the
(6) If you are in doubt as to whether an extremity does or does not have a
fracture, splint the extremity.
h. Check Distal Neurovascular Function. Check again for impairment of the
nerves and/or circulatory system below the site of the fracture using the procedures
listed in paragraph e on the previous page.
i. Evacuate the Casualty. Evacuate the casualty to a medical treatment
facility. If you cannot detect a pulse below the fracture site, evacuate the casualty as
soon as possible in an effort to save the limb.