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FUNDAMENTALS OF FIRST AID
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Providing first aid for fractures

Fundamentals of First Aid (OPMP)

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RџSЂRё fractures the victim must be provided with rest and immobility (immobilization) of the broken bone. Immobilization is achieved by applying standard or improvised splints. As improvised means, you can use sticks, canes, skis, umbrellas, boards, plywood, bunches of branches, etc. Tires are applied to the outer and inner surfaces of the broken limb. They must necessarily ensure the immobility of the two joints adjacent to the fracture site (Figure 6). When applying splints to a bare surface, they must be covered with cotton wool or any soft material at hand, and then secured with a bandage, towel, scarves, belts, etc.

In case of open fractures, bleeding is first stopped with a tourniquet, and then a bandage is applied to the wound. After that, an anesthetic is administered to the victim and immobilization of the limb is provided. If during the initial examination it is difficult to distinguish bruises and dislocations from bone fractures, then assistance should be provided, as with fractures.

Providing first aid for fractures

Fig. 6 - Methods of immobilization for fractures: a - ribs; b - shoulder; in - bones of the forearm; d - lower limbs

In case of a fracture of the bones of the forearm, the arm in the elbow joint is bent at a right angle with the palm to the body. The tire is taken so long that one end covers the fingers of the hand, and the second goes beyond the elbow joint. In this position, the tire is fixed with a bandage, and the hand is hung on a scarf or belt.

In case of a fracture of the humerus, the forearm is bent at a right angle in the elbow joint, and two splints are placed on the broken bone of the shoulder: one from the outside of the shoulder, and the other from the armpit to the elbow joint. Then both tires are bandaged to the shoulder and the bent forearm is hung on a belt or scarf (Figure 6).

In the absence of a service tire or improvised means, the arm bent at the elbow is hung on a scarf, belt and bandaged to the body.

To apply a splint for a hip fracture, you must have at least two large splints. One of them is applied along the outer surface of the limb, while one of its ends should be under the armpit, and the other should protrude slightly beyond the foot. The second tire is applied along the inner surface of the leg so that one of its ends reaches the crotch area, and the other protrudes beyond the edge of the foot. In this position, the tires are bandaged to the body.

In the absence of service splints or improvised means, the injured leg should be bandaged to a healthy one.

In case of a fracture of the lower leg, first aid is provided in the same way as in case of a fracture of the femur.

In case of a fracture of the pelvis, the victim must be laid on his back and placed under the knees with a roller (rolled coat, jacket, pillow, to reduce tension in the muscles of the thighs and abdomen).

The wounded in the spine should be very carefully laid in a horizontal position on a hard padding (shield, board), while avoiding any concussions and bending of the spine.

In case of fractures of the ribs, a tight circular bandage should be applied to the chest.

When the clavicle is fractured, a cotton ball is placed in the armpit from the injured side and the shoulder is tightly bandaged to the body, and the forearm is suspended on a scarf, the hand is attached to the body with the second scarf.

In case of jaw fractures, you need to cover your mouth and fix the jaw with a bandage.

Authors: Afanasiev Yu.G., Ovcharenko A.G., Trutneva L.I.

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