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
New breast cancer imaging method promising
The new PAMmography method for imaging breast cancer developed by...
medicalxpress.com
Novel therapeutic agent for Tamiflu-resistant pH1N1 influenza virus discovered
In 2009 the influenza pH1N1 virus caused the first flu...
medicalxpress.com
Palliation is rarely a topic in studies on advanced cancer
End-of-life aspects, the corresponding terminology, and the relevance of palliation...
medicalxpress.com
Breast cancer replicates brain development process
New research led by a scientist at the University of...
medicalxpress.com
Taking a walk may lead to more creativity than sitting, study finds
When the task at hand requires some imagination, taking a...
medicalxpress.com
New study links inflammation in those with PTSD to changes in microRNA
With a new generation of military veterans returning home from...
medicalxpress.com
Morning Break: US Doctors Killed at Afghan Hospital
(MedPage Today) -- Health news and commentary from around the...
medpagetoday.com
Spring cleaning often a sneezing nightmare for allergy sufferers
The warm weather brings with it the urge to open...
medicalxpress.com
Why do some people with Alzheimer's disease die without cognitive impairment?
Since the time of Dr. Alois Alzheimer himself, two proteins...
medicalxpress.com
Loyola patient receives one of the world's quickest lung transplants
A Loyola University Medical Center patient has received one of...
medicalxpress.com
Researchers study differences in the prevalence of headaches worldwide
Researchers around the world are working in a joint effort...
medicalxpress.com
Policy paper proposes regulatory model for cognitive enhancement devices
Researchers from the Oxford Martin School, University of Oxford, are...
medicalxpress.com
Research concludes sugar-sweetened beverages contribute to US obesity epidemic, particularly among children
In response to the ongoing policy discussions on the role...
medicalxpress.com
Motor skill deficiencies linked to autism severity in new research
(Medical Xpress)—An Oregon State University researcher has found a relationship...
medicalxpress.com
Treatment for deadly yeast disease reduced to three days
(Medical Xpress)—Initial treatment for a brain infection caused by fungus...
medicalxpress.com
Fibroblasts could offer alternative to heart transplants
(Medical Xpress)—Fibroblasts, cells long thought to be boring and irrelevant,...
medicalxpress.com
Is genetic instability the key to beating cancer?
Cancerous tumors may be poised at the edge of their...
medicalxpress.com
A new approach to cut death toll of young people in road accidents
Too often in Australia we hear tragic stories of another...
medicalxpress.com
Researchers study happiness of children in different family compositions
Children living with a step-parent or a lone parent are...
medicalxpress.com
Scientists find new genes on male sex chromosomes
Scientists are a step closer to discovering what determines the...
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 +