PERFORMANCE CHECKLIST

SPLINT A SUSPECTED FRACTURE

 

Situation: You have evaluated the casualty and determined that he has a fracture of the (upper arm, forearm, thigh, lower leg -- choose one).

GO NO GO

Reassures casualty.

Locates fracture site.

Checks circulation below fracture site.

Loosens tight clothing.

Removes any jewelry on the injured limb.

Dresses open wounds on limb (if present).

Question: What should you do if a bone is sticking out of the

open the limb?

Answer:

Checks circulation below fracture site.

Splints the fracture in the position found (does not attempt to straighten limb).

Places cravats (or other securing material) under limb with at least one cravat above the fracture site and at least one cravat below the site and none over the fracture site.

Places rigid objects on each side of the fractured limb.

Places padding between limb and rigid objects.

Secures rigid objects in place with cravats.

Ties nonslip knots on the outside rigid object.

Checks the casualty's circulation below the injury.

If limb has poor circulation, loosens cravats, repositions rigid objects (if needed), adds padding (if needed), and reties the cravats.

Cravats tied tight enough to securely hold the rigid objects in place.

Question: What would you do if the casualty has poor blood circulation below the fracture and adjusting the splint does not help?

Answer:

NOTE: The following steps are performed for a fracture of a

forearm, wrist, or hand.

Makes a triangular bandage to use as a sling.

Positions the injured arm in the center of the sling with apex beyond the elbow and top end over shoulder of injured side and behind the casualty's neck.

Brings other end of the sling over injured arm and ties ends at the neck on the uninjured side.

Twists and tucks the apex of the sling at the elbow.

Wraps swathe around upper arm and chest so the casualty's injured arm is immobilized and the uninjured arm is still free.

Ties the ends of the swathe in a nonslip knot on the casualty's uninjured side.

 

OVERALL EVALUATION GO NO GO

(A no-go on any step gives an overall evaluation of no-go.)