fracture

more susceptible to fractures

  • diseased

  • old

  • still growing

  • chemo

open fracture - skin is broken

closed fracture - skin isn’t broken

management of open fracture

  • keep cas still

  • cover wound with dressing

  • apply pressure around injury

  • bandage dressing in place

  • check for circulation (pulse)

management of closed fracture

  • keep cas still, support join above and below

  • place padding around area

  • immobilise area, sling for arm etc

  • check for circulation (pulse)

dislocation - joint partially or completely pulled out of usual place

management of dislocation

  • keep cas still

  • support injured area

  • immobilise area

  • check for circulation (pulse). if no pulse for patella dislocation, attempt to straighten leg ONCE

6 ps - ischemia

  • pain

  • pallor - colour

  • paraesthesia - sensation

  • paralysis - movement

  • perishing cold

  • pulseless

check 6ps after intervention too to check for improvement