Emergency Medical Care : How to Treat an Open Fracture During First Aid

[bboyDanii2]

Cms before n after

[uvtrecord1011]

distal to proximal wrapping woman

[Philip02K]

Direct preasure is for bleeding only. The person is going to be in severe pain.

[Vovan9444]

That is ridiculous!! You have to do something about the foot as well! so it wouldnt move

[Vovan9444]

like her legs damn!

[humbleranger]

@Vovan9444 I thought this might go beyone 3:17..if you know what I mean...harr, harr

[horseylassx1]

what if the bone is in the way and you cant apply pressure?

[GaryNjl]

Applying direct pressure over an open fracture is so, so wrong and should not be conducted on the casualty. Instead, make a ring with a tri-bandage and secure the protruding bone while putting one narrow bandage above and below the fractured area and one broad bandage on the knee. If, it really occurs on your tibia as shown in the video. Correct me if Im wrong someone...

[iTheShirt]

@GaryNjl

I believe you to be correct. I, with what I have learned, would treat it the same as an knife stabbing or any other penetration where the object is still penetrating the skin. Stop the bleeding the best you can. Immobilize the object and bandage "around" it, making sure it does not move. Transport as is. (I am still in Training, but this is what I remember off the top of my head.)

[BobbiJNelson1988]

its not a pertruding bone so yes you would apply direct pressure to control any bleeding der!!

[Dermbet]

Good video, but people don't carry splints, so it's not realistic

[milkjugman666]

lol @ applying pressure on an open fracture

splints aren't meant to control bleeding, they immobilize the broken limb to prevent further damage/massive shock/pain to the patient

a good way to check for circulation on an unconscious patient is capillary refill of the nail. where you squeeze their nail until it turns white, then count how many seconds it takes to return to normal color. shouldn't take less than 2-3 seconds.

if patient is losing enough blood from an open fracture: use tourniquet

[starbird14]

I want black gloves, where do you find those O_O

[zuludelta100]

WRONG

[m11nus]

You guys are life-savers! I'm supposed to be studying this right now but I can only retain so well by reading paragraphs! One thing though, my EMR book tells us to never apply pressure to an open musculoskeletal injuries... thoughts?

[HeBreaksLate]

@m11nus Applying pressure to an open fracture will cause more damage, but you have to remember life over limb. If the patient is losing enough blood, you're primary concern is to stop the bleeding to prevent shock. That's a tough judgment call (one I hope to never have to make). BTW, I am speaking from being certified as an OEC Technician and your local protocol may be different and takes precident.