Quantcast Assess Distal Neurovascular Function. - Treating Fractures in the Field

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
d. Remove Jewelry, If Appropriate. If the casualty has a suspected fracture of
the arm, remove any jewelry on the injured arm and put the jewelry in the casualty's
pocket. If the limb swells, the jewelry may interfere with blood circulation. The jewelry
may then have to be cut off to restore adequate blood circulation.
e. Assess Distal Neurovascular Function. Check for impairment of the
nerves and/or circulatory system below the site of the suspected fracture. Some of the
methods used to identify impairment are given below.
(1)  Check pulse. Palpate a pulse site below the fracture site. If no pulse or
a weak pulse is found, the fracture may be putting pressure on the artery or may have
damaged the artery. A weak pulse can be determined by comparing the pulse felt
below the fracture with the pulse felt at the same location on the uninjured limb. A
casualty with no pulse below the fracture site should be evacuated as soon as the limb
is splinted.
(2)  Check capillary refill. If the fractured limb is an arm, press on the
casualty's fingernail, then release. If normal color does not return within two seconds,
the limb may have impaired circulation. This is also called the blanch test.
(3)  Check skin temperature. Touch the casualty's skin below the fracture.
Coolness may indicate decreased or inadequate circulation. Compare the temperature
of the injured limb to the temperature of the same area on the uninjured limb.
(4)  Check sensation. Ask a conscious casualty if he can feel your touch.
Then lightly touch an area below the fracture. For example, if his arm is fractured, touch
the tip of the index and little fingers on the injured arm. Ask the casualty if the injured
limb feels numb or has a tingling sensation.
(5)  Check motor function. Ask a conscious casualty to try opening and
closing the hand of an injured arm or moving the foot of an injured leg. If the attempt
produces pain, have the casualty stop his efforts.
f. Dress Wounds. If the fracture is open, apply a field dressing or improvised
dressing the wound before splinting the limb. Do not attempt to push exposed bone
back beneath the skin. If the bone slips back spontaneously, make a notation of the
fact on the casualty's U.S. Field Medical Card (FMC). The card is initiated after
treatment is completed and accompanies the casualty to the medical treatment facility.
g. Immobilize Fracture. Immobilize the fracture to relieve pain and to prevent
additional damage to tissues at the fracture site due to movement of the fractured
bone(s). If an extremity is fractured, apply a splint using the following general rules.
CAUTION:
The general principle is "splint the fracture as it lies." Do not reposition
the fracture limb unless it is severely angulated and it is necessary to
straighten the limb so it can be incorporated into the splint. If needed,
straighten the limb with a gentle pull.
MD0533
1-8



Medical News
Ebola scare boosts business for US company
The Ebola scare has subsided in the United States, at...
medicalxpress.com
Sperm can carry Ebola for 82 days: WHO
Sperm can carry the Ebola virus for at least 82...
medicalxpress.com
The 65-Minute Minute Clinic
(MedPage Today) -- CVS needs to reconsider its walk-in clinic...
medpagetoday.com
Atherosclerosis a Signal for Brain Drain?
(MedPage Today) -- Plaque burden was linked to cognitive impairment...
medpagetoday.com
Research examines relationship between domestic abuse and football
A report, published today by the Scottish Centre for Crime...
medicalxpress.com
'Chatty' cells help build the brain
The cerebral cortex, which controls higher processes such as perception,...
medicalxpress.com
Obama Officials Seek to Clarify Abortion Coverage Rules
(MedPage Today) -- Implementing 2010 compromise language proves troublesome....
medpagetoday.com
Tweet of the Week: A Hungry Patient Walks Into a Hospital
(MedPage Today) -- Hospital staff use few words to inform...
medpagetoday.com
Metals in local groceries may impact kids health
A survey of metal concentrations in 253 food and beverages...
medicalxpress.com
Duality in the human genome
Humans don't like being alone, and their genes are no...
medicalxpress.com
Real-time volume imaging of hearts
A new ultrasound system from Siemens enables doctors to carry...
medicalxpress.com
Smoking rates halve since 1970s in Britain
The number of smokers in Britain has more than halved...
medicalxpress.com
The palaeolithic diet and the unprovable links to our past
We still hear and read a lot about how a...
medicalxpress.com
Understanding psychosis and schizophrenia
A report published today by the British Psychological Society's Division...
medicalxpress.com
How do Tourette's patients react to visual stimulation with their own self-image?
Tourette's syndrome is characterised by tics caused in many by...
medicalxpress.com
Beijing adopts smoking ban for public places: state media
China's capital on Friday passed a smoking ban for all...
medicalxpress.com
Johns Hopkins docs, researchers explain why you and your family should get vaccinated against the flu
One little stick can save your life. The flu shot...
medicalxpress.com
British scientists trial 15-minute Ebola test in Guinea
British researchers are to conduct trials in Guinea on a...
medicalxpress.com
Behavioral interventions to prevent progression to diabetes equally effective in men and women
Behavioural and drug interventions aiming to prevent people with prediabetes...
medicalxpress.com
Thai parliament votes to ban commercial surrogacy
Thailand's parliament has voted to ban commercial surrogacy after outrage...
medicalxpress.com
 


Privacy Statement - Copyright Information. - Contact Us

comments powered by Disqus

Integrated Publishing, Inc.
9438 US Hwy 19N #311 Port Richey, FL 34668

Phone For Parts Inquiries: (727) 755-3260
Google +