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Remove any jewelry on the injured arm before splinting to prevent interference with blood circulation. Assess distal neurovascular function by checking the pulse, capillary refill time, skin temperature, sensation, and motor function below the fracture site to identify any impairment. Dress any open wounds with a field dressing before splinting the limb. Immobilize the fracture with a splint to relieve pain and prevent further damage, splinting the limb as it lies without repositioning unless severely angulated.
Remove any jewelry on the injured arm before splinting to prevent interference with blood circulation. Assess distal neurovascular function by checking the pulse, capillary refill time, skin temperature, sensation, and motor function below the fracture site to identify any impairment. Dress any open wounds with a field dressing before splinting the limb. Immobilize the fracture with a splint to relieve pain and prevent further damage, splinting the limb as it lies without repositioning unless severely angulated.
Remove any jewelry on the injured arm before splinting to prevent interference with blood circulation. Assess distal neurovascular function by checking the pulse, capillary refill time, skin temperature, sensation, and motor function below the fracture site to identify any impairment. Dress any open wounds with a field dressing before splinting the limb. Immobilize the fracture with a splint to relieve pain and prevent further damage, splinting the limb as it lies without repositioning unless severely angulated.
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